Karrengton Bonner
Individual provider Active NPI Behavior Technician · Moyock, NC
NPI 1154944247 · NPPES record last updated May 22, 2020
Key facts
- NPI
- 1154944247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 111 Currituck Comrcl Dr Ste A1
Moyock, NC 27958-9086 - Phone
- (252) 435-1665
- NPI assigned
- May 22, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
111 Currituck Comrcl Dr Ste A1
Moyock, NC 27958-9086
Mailing address
111 Currituck Comrcl Dr Ste A1
Moyock, NC 27958-9086
Phone (252) 435-1665
Other providers in Moyock, NC
- Meaghan Barry
- Leilani Benavides
- Alysia Benedict
- Blossoming Free Mental Health Counseling PLLC
- Heather Vinson Boan
- Brichana Bracey
- Brightcore Behavioral Health
- Melissa Kate Brinn
- Victoria Brown-Marra
- Jalisa Brown
All providers in Moyock, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.