Healthcare Provider Details

I. General information

NPI: 1477480556
Provider Name (Legal Business Name): MISS REAGAN LEIGH RAMSEY I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST STE 110
CHAPEL HILL NC
27516-0448
US

IV. Provider business mailing address

1200 HOME PL
MATTHEWS NC
28105-6893
US

V. Phone/Fax

Practice location:
  • Phone: 984-528-8787
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: