Organization
ABC OF NC CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SELENE JOHNSON M.ED. (EXECUTIVE DIRECTOR)
(336) 251-1180
Entity
Organization
Contact information
Practice address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
(336) 251-1181
Mailing address
905 FRIEDBERG CHURCH RD, WINSTON SALEM, NC 27127-9803
(336) 251-1180
(336) 251-1181
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0125034
—
103K00000X
Behavior Analyst
1084186
—
103K00000X
Behavior Analyst
122977
—
103TC0700X
Clinical Psychologist
4074
NC
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
06/21/2023
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