Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician | RBT-21-154797 | NC |
NPI | 1003408493 |
---|---|
Provider Name | Bailee Elizabeth Hill |
First Address | Jacksonville, NC 28540-6508 |
Second Address | Jacksonville, NC 28540-6508 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2021 |
Last Update Date | 07/02/2021 |