Individual
AMARA WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418B W MOUNTAIN ST, KERNERSVILLE, NC 27284-2534
(704) 780-4271
(888) 261-6694
Mailing address
96 TRIBUNE AVE SW APT A, CONCORD, NC 28025-5084
(252) 955-6308
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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