Aaliyah Broadwater
Behavior Analyst in Columbia, SC. Individual provider (NPI-1).
NPI number1619705167
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1619705167
- Entity type
- Individual (NPI-1)
- Name
- Aaliyah Broadwater
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1505 Blanding StColumbia, SC 29201-2906
Phone 803-929-0011
Mailing address
1505 Blanding StColumbia, SC 29201-2906
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