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Behavioral Analyst

Rock Hill, South Carolina

Provider NPI: 1700095064

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
Tel: 803-366-6250  Fax: 803-905-4431

Business Mailing Address:
Tel: 270-777-9283  Fax: 270-777-9283

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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