Most Relevant Information
Provider Data
| NPI Number: | 1003677659 |
| Provider Name: | ILEANA JOSEPH |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | BACB850087 |
Most Important Dates
| Enumeration Date: | 01/22/2024 |
| Last Updated: | 01/22/2024 |
Provider Practice Location
110 CONNER DR STE 4
CHAPEL HILL
NC
275147044
Practice Location Phone/Fax
| Phone: | 9842610808 |
| Fax: |
Provider Mailing Location
4800 TAPERS DR APT C
RALEIGH
NC
276167024
Provider Mailing Phone/Fax
| Phone: | 7044417812 |
| Fax: |