Organization
CAPE FEAR ABA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA GAYLE RICKARD M.S., LPA, BCBA (LICENSED PSYCHOLOGICAL ASSOCIATE)
(910) 382-0009
Entity
Organization
Contact information
Practice address
202 CHURCH ST, WILMINGTON, NC 28401-5010
(910) 382-0009
Mailing address
202 CHURCH ST, WILMINGTON, NC 28401-5010
(910) 382-0009
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4389
NC
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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