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Behavioral Analyst

Greenville, South Carolina

Provider NPI: 1639318249

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
Tel: 864-757-9918  Fax: 864-757-9921

Business Mailing Address:
Tel: 864-920-2527  Fax: 864-757-9921

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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