| Bx Basics | |
|
3 Gidding Ct Irmo SC 29063-8363 | |
| (803) 497-4361 | |
| Not Available |
| Full Name | Bx Basics |
|---|---|
| Speciality | Behavior Analyst |
| Location | 3 Gidding Ct, Irmo, South Carolina |
| Authorized Official Name and Position | Takaya Burton (OWNER) |
| Authorized Official Contact | 8034974361 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bx Basics 3 Gidding Ct Irmo SC 29063-8363 Ph: (803) 497-4361 | Bx Basics 3 Gidding Ct Irmo SC 29063-8363 Ph: (803) 497-4361 |
| NPI Number | 1689452138 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689452138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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