Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 106S00000X | Behavior Technician |
NPI | 1003373978 |
---|---|
Provider Name | Mrs. Essence Cametta Grey |
First Address | Durham, NC 27707-3724 |
Second Address | Cary, NC 27511-7903 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2019 |
Last Update Date | 26/02/2019 |