MEDICARE: PAULA CALLAWAY

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
1	106S00000X	Behavior Technician		NC

General Provider Information

NPI Number	:	1316801970
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA CALLAWAY

Provider Business Mailing Address
First Line	:	102 IVEY CT
Second Line	:
City	:	JACKSONVILLE
State	:	NC
Zip	:	28540-6923
Country	:	US
Telephone Number	:	910-320-2467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2512 INDEPENDENCE BLVD STE 100
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28412-0019
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/09/2025
Last Update Date	:	12/09/2025

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Directions to “ PAULA CALLAWAY ” Practice Location

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