| NPI | 1720341084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KNIGHT Clinical Director 864-476-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-06-06 |