Kimberley Alyson Black

NPI #1043034572 in Winston Salem, North Carolina

Provider Information

NPI Number: 1043034572
Entity Type: Individual
Name: Kimberley Alyson Black
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Nov 12, 2024
Last Updated: Nov 12, 2024

Practice Location

Address: 1959 N PEACE HAVEN RD # 104
City: Winston Salem
State: North Carolina
ZIP Code: 27106-4850
Phone: (336) 469-0805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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