Individual
IMANI KHALI'AH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
(336) 251-1181
Mailing address
462 W 24TH ST, WINSTON SALEM, NC 27105-5036
(743) 999-3768
(336) 293-4523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
08/09/2025
Last updated
08/09/2025
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