| Nc Coastal Aba | |
|
4634 Harmony Ln Efland NC 27243-9456 | |
| (919) 742-0919 | |
| (984) 983-0481 |
| Full Name | Nc Coastal Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4634 Harmony Ln, Efland, North Carolina |
| Authorized Official Name and Position | Angela Derby-wright (CEO) |
| Authorized Official Contact | 9197420919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nc Coastal Aba 4634 Harmony Ln Efland NC 27243-9456 Ph: (919) 742-0919 | Nc Coastal Aba 4634 Harmony Ln Efland NC 27243-9456 Ph: (919) 742-0919 |
| NPI Number | 1104653989 |
|---|---|
| Provider Enumeration Date | 09/17/2024 |
| Last Update Date | 09/17/2024 |
| Certification Date | 09/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104653989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
J-1 Consultants Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Harambee Dr, Efland, NC 27243 Phone: 919-732-5425 | |
Whole Child Behavioral Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4634 Harmony Lane, Efland, NC 27243 Phone: 919-742-0919 Fax: 919-304-1100 |