Claridge Behavioral Consulting, LLC
Behavior Analyst in Fort Mill, SC. Organization (NPI-2).
NPI number1962380378
StatusActive
Last updated in NPPESSep 4, 2025
Details
- NPI
- 1962380378
- Entity type
- Organization (NPI-2)
- Legal business name
- Claridge Behavioral Consulting, LLC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2025
- Certification date
- Sep 4, 2025
- Last updated
- Sep 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
762 Woburn Abbey DrFort Mill, SC 29715-6930
Phone 803-627-4790
Mailing address
762 Woburn Abbey DrFort Mill, SC 29715-6930
Phone 803-627-4790
Authorized official
Jenna M Douglass
Ceo
8036274790
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