| Beaty & Beaty, Llc | |
|
617 Hillcrest Ave Columbia SC 29203-5657 | |
| (803) 814-4449 | |
| Not Available |
| Full Name | Beaty & Beaty, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 617 Hillcrest Ave, Columbia, South Carolina |
| Authorized Official Name and Position | Robert Beaty (OFFICER) |
| Authorized Official Contact | 8038144449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beaty & Beaty, Llc 617 Hillcrest Ave Columbia SC 29203-5657 Ph: () - | Beaty & Beaty, Llc 617 Hillcrest Ave Columbia SC 29203-5657 Ph: (803) 814-4449 |
| NPI Number | 1558891457 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558891457 | NPI | - | NPPES |
| 1-16-23254 | Other | BACB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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