Individual
AMBER HANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2425 S 17TH ST, WILMINGTON, NC 28401-7903
(910) 313-3232
Mailing address
4306 CEDARWOOD LN APT D, WILMINGTON, NC 28403-8493
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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