| Autry Early Intervention Hub | |
|
1786 Metromedical Dr Fayetteville NC 28304-3861 | |
| (910) 691-4343 | |
| (910) 500-0603 |
| Full Name | Autry Early Intervention Hub |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1786 Metromedical Dr, Fayetteville, North Carolina |
| Authorized Official Name and Position | Kiona Nicole Autry (OWNER) |
| Authorized Official Contact | 9106914343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autry Early Intervention Hub 201 S Mcpherson Church Rd Ste 226 Fayetteville NC 28303-4995 Ph: (910) 691-4343 | Autry Early Intervention Hub 1786 Metromedical Dr Fayetteville NC 28304-3861 Ph: (910) 691-4343 |
| NPI Number | 1811726185 |
|---|---|
| Provider Enumeration Date | 07/26/2024 |
| Last Update Date | 07/26/2024 |
| Certification Date | 07/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811726185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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