Dannie A Bates, RBT

Individual provider Active NPI Behavior Analyst · Efland, NC

NPI 1841754330 · NPPES record last updated Jan 29, 2019

Key facts

NPI
1841754330
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
4634 Harmony LN
Efland, NC 27243-9456
Phone
(919) 742-0919
Fax
(919) 304-1100
NPI assigned
Jan 29, 2019
Sex
Male
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Yes

Addresses

Primary practice location

4634 Harmony LN
Efland, NC 27243-9456

Mailing address

215 Riverstone CT
Jacksonville, NC 28546-8068
Phone (910) 229-9405

Other providers in Efland, NC

All providers in Efland, NC · Behavior Analyst in North Carolina

Sources for this page

Verify at the official NPI Registry.