Individual
KASEY LEE ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CURRITUCK COMMERICAL DR STE A1, MOYOCK, NC 27958-9086
(252) 435-1665
Mailing address
111 CURRITUCK COMMERICAL DR STE A1, MOYOCK, NC 27958-9086
(252) 435-1665
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004646
VA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/25/2023
Last updated
10/10/2025
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