Bip-Behavior Intervention Professionals Of The Triangle, PLLC
Psychologist in Durham, NC. Organization (NPI-2).
NPI number1508134958
StatusActive
Last updated in NPPESApr 7, 2017
Details
- NPI
- 1508134958
- Entity type
- Organization (NPI-2)
- Legal business name
- Bip-Behavior Intervention Professionals Of The Triangle, PLLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2011
- Last updated
- Apr 7, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | 1696 | NC | Yes |
| 103K00000X | Behavior Analyst | 1696 | NC | |
| 103TM1800X | Psychologist, Intellectual & Developmental Disabilities | 1696 | NC |
Practice location
1009 Poplar StDurham, NC 27703-9858
Phone 919-818-3182 · Fax 919-384-7909
Mailing address
1009 Poplar StDurham, NC 27703-9858
Phone 919-818-3182
Authorized official
Laura Quinn
Manager
9198183182
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