Individual
HANNAH GRACE NIEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
RBT-20-144723
NC
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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