| Board Certified Behavior Analyst | |
|
1221 E. Jefferson St. Dillon SC 29536 | |
| (910) 231-1909 | |
| Not Available |
| Full Name | Board Certified Behavior Analyst |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1221 E. Jefferson St., Dillon, South Carolina |
| Authorized Official Name and Position | Laura Lapen (BEHAVIOR ANALYST) |
| Authorized Official Contact | 9102311909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Board Certified Behavior Analyst 5204 Treybrooke Dr. Wilmington NC 28409 Ph: () - | Board Certified Behavior Analyst 1221 E. Jefferson St. Dillon SC 29536 Ph: (910) 231-1909 |
| NPI Number | 1407175540 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407175540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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