Individual
BRANDON KYLE WINSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5121 KINGDOM WAY STE 100, RALEIGH, NC 27607-6063
(800) 442-2762
Mailing address
1166 MALLARD PL, CREEDMOOR, NC 27522-7230
(919) 800-9900
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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