NPI | 1780063289 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE H MCCRAY Clinicial Services Coordinator 843-664-3624 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 19477) |
Enumeration Date | 2015-05-29 |
Last Update Date | 2015-05-29 |