MEDICARE: HUNTER CHRISTIAN WEBER

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	103K00000X	Behavior Analyst	1-21-51143	NC

General Provider Information

NPI Number	:	1407405095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER CHRISTIAN WEBER

Provider Business Mailing Address
First Line	:	62 BUHRSTONE MILL STREET
Second Line	:
City	:	ZEBULON
State	:	NC
Zip	:	27597-2103
Country	:	US
Telephone Number	:	919-906-4505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3041 BERKS WAY STE 203
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27614-6777
Country	:	US
Telephone Number	:	919-429-8338
Fax Number	:

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

Provider Enumeration Date	:	09/06/2019
Last Update Date	:	10/08/2021

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Directions to “ HUNTER CHRISTIAN WEBER ” Practice Location

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