Individual
MISS BRITTNEY LATAVIA GATLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3311 SUNGROVE LN APT 217, RALEIGH, NC 27610-9503
(984) 298-9877
Mailing address
3311 SUNGROVE LN APT 217, RALEIGH, NC 27610-9503
(984) 298-9877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
945067273N
—
NC
Enumeration date
09/29/2022
Last updated
09/29/2022
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