Most Relevant Information
Provider Data
| NPI Number: | 1003668948 |
| Provider Name: | KEELA BITTLE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/03/2024 |
| Last Updated: | 04/03/2024 |
Provider Practice Location
1645 CHERRY BLOSSOM LN
WINSTON SALEM
NC
271273221
Practice Location Phone/Fax
| Phone: | 3369184293 |
| Fax: |
Provider Mailing Location
1645 CHERRY BLOSSOM LN
WINSTON SALEM
NC
271273221
Provider Mailing Phone/Fax
| Phone: | 3369184293 |
| Fax: |