| Charleston Autism Academy | |
|
930 Pine Hollow Rd Mount Pleasant SC 29464 | |
| (843) 881-0330 | |
| Not Available |
| Full Name | Charleston Autism Academy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 930 Pine Hollow Rd, Mount Pleasant, South Carolina |
| Authorized Official Name and Position | Laura Misenhelter (CAA BOARD PRESIDENT) |
| Authorized Official Contact | 8438810330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charleston Autism Academy 930 Pine Hollow Rd Mt Pleasant SC 29464 Ph: () - | Charleston Autism Academy 930 Pine Hollow Rd Mount Pleasant SC 29464 Ph: (843) 881-0330 |
| NPI Number | 1316331184 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316331184 | NPI | - | NPPES |
| 1356664437 | Other | SC | NATIONAL PROVIDER IDENTIFIER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1500618 (South Carolina) | Primary |
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