Most Relevant Information
Provider Data
  | NPI Number: | 1003550427 | 
| Provider Name: | KAMDYN NICOLE WARREN LBA | 
| Entity Type: | Individual | 
| Taxonomy Code: | 103K00000X | 
| Specialty: | Behavior Analyst | 
| License Number: | 
Most Important Dates
  | Enumeration Date: | 04/21/2022 | 
| Last Updated: | 09/20/2024 | 
Provider Practice Location
  4900 WATERS EDGE DR STE 100
      
      RALEIGH
      NC
      276065662
  Practice Location Phone/Fax
      | Phone: | 9196960006 | 
| Fax: | 9195739474 | 
Provider Mailing Location
  100 PARRISH FARM LN
      
      BENSON
      NC
      275046026
  Provider Mailing Phone/Fax
      | Phone: | 9196345915 | 
| Fax: |