Most Relevant Information
Provider Data
NPI Number: | 1003373978 |
Provider Name: | ESSENCE CAMETTA GREY MS, RBT |
Entity Type: | Individual |
Taxonomy Code: | 106S00000X |
Specialty: | Behavior Technician |
License Number: |
Most Important Dates
Enumeration Date: | 02/26/2019 |
Last Updated: | 02/26/2019 |
Provider Practice Location
111 MACKENAN DR
CARY
NC
275117903
Practice Location Phone/Fax
Phone: | 9193712848 |
Fax: |
Provider Mailing Location
2920 CHAPEL HILL RD APT 57A
DURHAM
NC
277073724
Provider Mailing Phone/Fax
Phone: | 9107870444 |
Fax: |