Individual
MISS KRISTIN ASHLEY SPRUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA, BCABA
Contact information
Practice address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
(252) 751-0518
(252) 565-4505
Mailing address
3851 DUNHAGAN RD STE 102, GREENVILLE, NC 27858-6640
(252) 751-0518
(252) 565-4505
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-08-2582
NC
103TC0700X
Clinical Psychologist
3717
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3717
NC
171000000X
Military Health Care Provider
0-08-2582
NC
Other
Enumeration date
09/17/2009
Last updated
07/17/2020
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