| Easter Seals Ucp Nc & Va, Inc | |
|
500 Military Cutoff Rd Wilmington NC 28405-9737 | |
| (910) 512-6986 | |
| Not Available |
| Full Name | Easter Seals Ucp Nc & Va, Inc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 500 Military Cutoff Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Luanne Welch (C.E.O) |
| Authorized Official Contact | 9197838898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Easter Seals Ucp Nc & Va, Inc 5171 Glenwood Ave Suite 400 Raleigh NC 27612-3266 Ph: (919) 783-8898 | Easter Seals Ucp Nc & Va, Inc 500 Military Cutoff Rd Wilmington NC 28405-9737 Ph: (910) 512-6986 |
| NPI Number | 1073062006 |
|---|---|
| Provider Enumeration Date | 10/03/2016 |
| Last Update Date | 10/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073062006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | # 1-16-22922 (North Carolina) | Primary |
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