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NPI Code Detail

MEDICARE: HALEY ELIZABETH WILKERSON RBT

MEDICARE: HALEY ELIZABETH WILKERSON RBT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1225808397
Entity Type Code : Individual
Provider Name (Legal Business Name) : HALEY ELIZABETH WILKERSON RBT
Provider Business Mailing Address
First Line : 2513 TROY DR APT 12
Second Line :
City : WILMINGTON
State : NC
Zip : 28401-2512
Country : US
Telephone Number : 336-459-2512
Fax Number :
Provider Business Practice Location Address
First Line : 2600 PARK TOWER DR STE 200
Second Line :
City : VIENNA
State : VA
Zip : 22180-7394
Country : US
Telephone Number : 703-533-3131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2024
Last Update Date : 06/10/2026

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