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Ivory Wilson, CPT

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

NPI number1194513630
StatusActive
Last updated in NPPESJul 9, 2025

Details

NPI
1194513630
Entity type
Individual (NPI-1)
Name
Ivory Wilson
Credential
CPT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 25, 2025
Certification date
Jul 9, 2025
Last updated
Jul 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

201 Mackenan Dr
Cary, NC 27511-6498

Phone 910-725-9723

Mailing address

201 Mackenan Dr
Cary, NC 27511-6498

Phone 910-725-9723

Other practice locations

8521 Six Forks Rd Ste 350
Raleigh, NC 27615-5863

Phone 919-676-3118

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