MARANDA JACK

Behavior Technician

Active Individual
NPI: 1215617808

Practice Address

568 SANDHURST DR
Fayetteville, NC 28304

Phone: (910) 484-1711

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes RBT-23-284094 (NC)

Frequently Asked Questions

NPI 1215617808 is the National Provider Identifier for MARANDA JACK, a Behavior Technician provider located in Fayetteville, NC. This NPI was enumerated on July 19, 2023.
MARANDA JACK practices at 568 SANDHURST DR, Fayetteville, NC 28304.

Quick Facts

NPI
1215617808
Type
Individual
Enumerated
Jul 19, 2023
Last Updated
Jul 19, 2023

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