| Bouya Behavior Solutions Llc | |
|
425 Old Georgia Rd Pelzer SC 29669-9561 | |
| (352) 263-7858 | |
| Not Available |
| Full Name | Bouya Behavior Solutions Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 425 Old Georgia Rd, Pelzer, South Carolina |
| Authorized Official Name and Position | Shannon Nichole Martinez (OWNER) |
| Authorized Official Contact | 3522637858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bouya Behavior Solutions Llc 425 Old Georgia Rd Pelzer SC 29669-9561 Ph: (352) 263-7858 | Bouya Behavior Solutions Llc 425 Old Georgia Rd Pelzer SC 29669-9561 Ph: (352) 263-7858 |
| NPI Number | 1114516895 |
|---|---|
| Provider Enumeration Date | 01/15/2021 |
| Last Update Date | 04/30/2024 |
| Certification Date | 01/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114516895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Socalm Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 14 Trollingwood Way, Pelzer, SC 29669 Phone: 864-514-7759 |