Organization
LIVING SOUL OF NORTH CAROLINA ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN THOMAS (BILLER)
(201) 241-0079
Entity
Organization
Contact information
Practice address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
(561) 536-5888
Mailing address
4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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