Abigail Antonette
Individual provider Active NPI Behavior Technician · Jacksonville, NC
NPI 1295416261 · NPPES record last updated Jul 31, 2023
Key facts
- NPI
- 1295416261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 200 Valencia Dr
Jacksonville, NC 28546-6311 - Phone
- (252) 341-4192
- NPI assigned
- Jul 31, 2023
- 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
200 Valencia Dr
Jacksonville, NC 28546-6311
Mailing address
200 Valencia Dr
Jacksonville, NC 28546-6311
Phone (252) 341-4192
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All providers in Jacksonville, 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 Jul 31, 2023. 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.