Provider Demographics
NPI:1003408493
Name:HILL, BAILEE ELIZABETH (RBT)
Entity type:Individual
Prefix:
First Name:BAILEE
Middle Name:ELIZABETH
Last Name:HILL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113G N MARINE BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-6508
Mailing Address - Country:US
Mailing Address - Phone:910-581-4172
Mailing Address - Fax:910-939-5240
Practice Address - Street 1:113G N MARINE BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28540-6508
Practice Address - Country:US
Practice Address - Phone:910-581-4172
Practice Address - Fax:910-939-5240
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCRBT-21-154797106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician