Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Axom, RBT

Individual provider Behavior Technician · NPI 1093462483

Mary Axom, RBT is a Behavior Technician in Clemmons, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
What do these letters mean?
RBT — Registered Behavior Technician
Delivers behaviour therapy under a behaviour analyst's supervision.

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Practice location Address checks out

3950 Clemmons Rd
Clemmons, NC 27012-8479
Phone: (252) 751-0518
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 21-191665 (NC)

Record details

NPI number1093462483
Entity typeIndividual (Type 1)
GenderFemale
Credentials RBT
Sole proprietorYes
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address3851 Dunhagan Rd Ste 102, Greenville, NC 27858-6640

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