Most Relevant Information
Provider Data
| NPI Number: | 1003699836 |
| Provider Name: | DARRYL JAMES MIMS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/15/2023 |
| Last Updated: | 08/15/2023 |
Provider Practice Location
941 S MCPHERSON CHURCH RD
FAYETTEVILLE
NC
283035369
Practice Location Phone/Fax
| Phone: | 9102864784 |
| Fax: |
Provider Mailing Location
76 OLD ENGLISH LN
SPRING LAKE
NC
283907429
Provider Mailing Phone/Fax
| Phone: | 9734944906 |
| Fax: |