Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-03-1173 | NC |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 2432 | NC |
N | 103TM1800X | Intellectual & Developmental Disabilities | 2432 | NC |
NPI | 1225202567 |
---|---|
Provider Name | Mrs. Apple L Boyce |
First Address | Greenville, NC 27858-5758 |
Second Address | Greenville, NC 27858-5758 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2008 |
Last Update Date | 17/09/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3408205 | (05) | NC |