Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRYAN DOREKO PAUL SMITH, QP, ITFS, MHFA
ActiveBehavior Technician · RALEIGH, NC
Registration Details
- NPI Number
- 1366159451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 31, 2022 (3.4749017439234 yrs)
- Last Updated
- Jan 4, 2023
Practice Information
- Address
-
1100 LOGGER CT STE E102RALEIGH, NC, 276098510Browse NC providers · Browse ZIP 27609
- Phone
- 9199007200
- Fax
- 9199007201
- Primary Specialty
-
Behavior Technician
106S00000X
- Additional Specialty
- Assistive Technology Practitioner
- Additional Specialty
- Behavioral Health Technician
- Additional Specialty
- Podiatric Surgery
- Additional Specialty
- Foot & Ankle Surgery
Other Behavior Technician Providers in RALEIGH, NC
| Name | Credential | NPI |
|---|---|---|
| MS. CYNTHIA MARIE GARRIS | — | 1336291756 |
| MARILYN LOCKLEY | — | 1699896233 |
| MS. LISA ANN SHAFFER | LBSW | 1467675504 |
| SHANETTE HAYNES | — | 1629220751 |
| AUDREY EDGERTON | — | 1649506718 |
| TAYLOR DALE | — | 1730815838 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.