| Atlas Supports | |
|
113 Saluda Shores Cir Leesville SC 29070-7235 | |
| (803) 582-9003 | |
| (803) 234-2927 |
| Full Name | Atlas Supports |
|---|---|
| Speciality | Behavior Analyst |
| Location | 113 Saluda Shores Cir, Leesville, South Carolina |
| Authorized Official Name and Position | Christian Atlas Martin (PRESIDENT) |
| Authorized Official Contact | 8035829003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlas Supports 113 Saluda Shores Cir Leesville SC 29070-7235 Ph: (803) 582-9003 | Atlas Supports 113 Saluda Shores Cir Leesville SC 29070-7235 Ph: (803) 582-9003 |
| NPI Number | 1275868556 |
|---|---|
| Provider Enumeration Date | 10/05/2009 |
| Last Update Date | 04/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275868556 | NPI | - | NPPES |
| WP8953 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-05-2205 (South Carolina) | Primary |
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