Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003404377 |
---|---|
Provider Name | Lyndsay Nicole Rhodes |
First Address | Wilmington, NC 28401-7069 |
Second Address | Wilmington, NC 28401-7069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2021 |
Last Update Date | 04/01/2021 |