Individual
AVENIA S SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5932 SANDY FORKS RD STE 101, RALEIGH, NC 27609-3814
(984) 275-3054
Mailing address
102 INDIAN SPRING DR, KNIGHTDALE, NC 27545-9204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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