Most Relevant Information
Provider Data
| NPI Number: | 1003599234 |
| Provider Name: | MYA LYNN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/14/2023 |
| Last Updated: | 08/14/2023 |
Provider Practice Location
956 W CHATHAM ST
CARY
NC
275113169
Practice Location Phone/Fax
| Phone: | 9197050668 |
| Fax: |
Provider Mailing Location
83 EAGLE ROCK PL
CLAYTON
NC
275205674
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |