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Organization

EVERGREEN THERAPEUTICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNDSEY ISLEY LBA, BCBA (OWNER/CHIEF EXECUTIVE OFFICER)
(336) 252-4434
Entity
Organization

Contact information

Practice address
1492 CHIMNEY ROCK DR, KERNERSVILLE, NC 27284-8905
(336) 252-4568
Mailing address
5164 REIDSVILLE RD STE 215, WALKERTOWN, NC 27051-9770
(336) 252-4568

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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