Charleston Pediatric Rehabilitation LLC
Behavior Analyst in Charleston, SC. Organization (NPI-2).
NPI number1982189718
StatusActive
Last updated in NPPESSep 27, 2018
Details
- NPI
- 1982189718
- Entity type
- Organization (NPI-2)
- Legal business name
- Charleston Pediatric Rehabilitation LLC
- Organization subpart
- No
- Enumeration date
- Sep 27, 2018
- Last updated
- Sep 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
1407 Ashley River RdCharleston, SC 29407-5305
Phone 843-364-5437
Mailing address
2070 Northbrook Blvd Ste B4North Charleston, SC 29406-9254
Phone 843-364-5437
Authorized official
Michael Coyle
Owner
8437690663
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