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Charmaine Wiggins

Behavior Technician in Kernersville, NC. Individual provider (NPI-1).

NPI number1164055877
StatusActive
Last updated in NPPESFeb 20, 2020

Details

NPI
1164055877
Entity type
Individual (NPI-1)
Name
Charmaine Wiggins
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 20, 2020
Certification date
Feb 20, 2020
Last updated
Feb 20, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

418 W Mountain St
Kernersville, NC 27284-2534

Phone 704-780-4271

Mailing address

3403 N Ohenry Blvd Apt B
Greensboro, NC 27405-3941

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