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TARA MARIE GREGORI MSP, CCC-SLP, BCBA

Behavioral Analyst

Mount Pleasant, South Carolina

Provider NPI: 1780809335

Provider Information:
 TARA MARIE GREGORI MSP, CCC-SLP, BCBA
Gender: F
Sole Proprietor


Practice Location:
966 GOVERNORS CT  MOUNT PLEASANT, SC 29464 US
Tel: 843-813-1538  Fax: 843-884-6190

Business Mailing Address:
966 GOVERNORS CT  MOUNT PLEASANT, SC 29464 US
Tel: 843-813-1538  Fax: 843-888-8133

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
SC2212
N103K00000X

Other Provider Identifiers:

IssuerNumberStateType
SA0412SC05
EXG324SC05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







BEHAVIORAL ANALYST JOBS SC - Page 1



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