| Autism Services Of South Carolina | |
|
1310 Woodrow St Columbia SC 29205-1229 | |
| (803) 212-8971 | |
| Not Available |
| Full Name | Autism Services Of South Carolina |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1310 Woodrow St, Columbia, South Carolina |
| Authorized Official Name and Position | Shae Peak (BILLING DIRECTOR) |
| Authorized Official Contact | 8032128971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autism Services Of South Carolina Po Box 5715 Columbia SC 29250-5715 Ph: () - | Autism Services Of South Carolina 1310 Woodrow St Columbia SC 29205-1229 Ph: (803) 212-8971 |
| NPI Number | 1215392337 |
|---|---|
| Provider Enumeration Date | 12/16/2015 |
| Last Update Date | 12/16/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215392337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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