| NPI | 1356621817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARIE GREGORI Director 843-813-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: SC 2212) |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2012-04-10 |