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Individual

ISAAC ALLEN MCCOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RBT

Contact information

Practice address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 378-2501
Mailing address
217 STATION ST, JACKSONVILLE, NC 28546-6304
(910) 378-2501

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1252949
NC

Other

Enumeration date
02/10/2025
Last updated
02/10/2025
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