Individual
AMARA CAMILLE WATTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 DOWD CIR STE A, PINEHURST, NC 28374-7932
(910) 295-2609
(800) 948-6061
Mailing address
291 SHADS FORD BLVD, FAYETTEVILLE, NC 28314-1222
(910) 260-3946
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
11193
NC
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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