| NPI | 1720514938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MARIE GREGORI Owner/Director 843-813-1538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 235Z00000X Speech-Language Pathologist, (Licence: SC 2212) | |
| Enumeration Date | 2017-05-08 |
| Last Update Date | 2017-05-08 |