Most Relevant Information
Provider Data
| NPI Number: | 1003696212 |
| Provider Name: | MAKAYLA LOCKLEAR |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/04/2023 |
| Last Updated: | 10/04/2023 |
Provider Practice Location
920 CAMBRIDGE ST
FAYETTEVILLE
NC
283035300
Practice Location Phone/Fax
| Phone: | 9104933555 |
| Fax: |
Provider Mailing Location
920 CAMBRIDGE ST
FAYETTEVILLE
NC
283035300
Provider Mailing Phone/Fax
| Phone: | 9104933555 |
| Fax: |