Individual
ALEXIA DAWN RYAN IMRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3020 HENDERSON DR, JACKSONVILLE, NC 28546-5246
(910) 484-1711
Mailing address
2919 BREEZEWOOD AVE STE 101, FAYETTEVILLE, NC 28303-5283
(910) 484-1711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
3208
NC
106S00000X
Behavior Technician
ABAT-13008
NC
Other
Enumeration date
09/15/2022
Last updated
08/18/2025
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