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Individual

JUMIEYA MUNTERAH EDWARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
716 EAST BLVD, CHARLOTTE, NC 28203-5114
(919) 375-0475
Mailing address
607 N LITTLE TEXAS RD, KANNAPOLIS, NC 28083-3954
(704) 920-8503

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2409
NC
106S00000X
Behavior Technician
RBT-19-80422
NC
106S00000X
Behavior Technician

Other

Enumeration date
01/16/2019
Last updated
01/22/2025
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