Individual
AMBER BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., LPA, BCBA
Contact information
Practice address
7801 OLDE POND RD, WILMINGTON, NC 28411-6206
(919) 630-8764
(910) 401-1882
Mailing address
PO BOX 10494, WILMINGTON, NC 28404-0494
(919) 630-8764
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9046
NC
Other
Enumeration date
06/23/2011
Last updated
04/13/2017
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