| NPI | 1003248287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SPEARS BECKHAM Owner 843-799-0076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SC BACB # 1-11-8879) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-04-26 |