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NPI Code Detail

MEDICARE: QUINTANIA GREGG

MEDICARE: QUINTANIA GREGG
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 : 1689561664
Entity Type Code : Individual
Provider Name (Legal Business Name) : QUINTANIA GREGG
Provider Business Mailing Address
First Line : 108 CURRY CT
Second Line :
City : CANDLER
State : NC
Zip : 28715-1200
Country : US
Telephone Number : 828-393-8451
Fax Number :
Provider Business Practice Location Address
First Line : 5121 KINGDOM WAY
Second Line :
City : RALEIGH
State : NC
Zip : 27607-6062
Country : US
Telephone Number : 828-620-5145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2025
Last Update Date : 06/21/2025

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Directions to “ QUINTANIA GREGG ” Practice Location

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