Individual
DARBY R BERTRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Mailing address
200 DOCTORS DR STE J, JACKSONVILLE, NC 28546-6308
(910) 333-0814
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
06/03/2021
Last updated
06/03/2021
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