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Behavioral Analyst

Lexington, South Carolina

Provider NPI: 1144556523

Organization Information:
Organization is not Subpart
Authorized Official:  ALISIA BAUKNIGHT CAREY  PRESIDENT  803-9600229

Practice Location:
Tel: 803-960-0229  Fax: --

Business Mailing Address:
Tel: --  Fax: --

Entity Type: Organization


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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