Organization
AUTRY EARLY INTERVENTION HUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIONA NICOLE AUTRY BCBA, LBA (OWNER)
(910) 691-4343
Entity
Organization
Contact information
Practice address
1786 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 691-4343
(910) 500-0603
Mailing address
201 S MCPHERSON CHURCH RD STE 226, FAYETTEVILLE, NC 28303-4995
(910) 691-4343
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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