| NPI | 1831646629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIDRA M GLOVER Owner 803-900-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2025-08-07 |