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Clarissa Barham

Behavior Technician in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1538064480
StatusActive
Last updated in NPPESOct 12, 2026

Details

NPI
1538064480
Entity type
Individual (NPI-1)
Name
Clarissa Barham
Sex
Female
Sole proprietor
No
Enumeration date
Oct 12, 2026
Certification date
Oct 11, 2026
Last updated
Oct 12, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician24-364203SCYes

Practice location

400 N Kings Hwy
Myrtle Beach, SC 29577-3946

Phone 843-282-9090

Mailing address

1234 Tomahawk St
Hemingway, SC 29554-4512

Phone 843-933-2699

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