| Illuminations Aba, Llc | |
|
305 Farmers Market St Taylors SC 29687-4614 | |
| (864) 256-4015 | |
| Not Available |
| Full Name | Illuminations Aba, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 305 Farmers Market St, Taylors, South Carolina |
| Authorized Official Name and Position | Anna Craft (OWNER) |
| Authorized Official Contact | 8642564015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Illuminations Aba, Llc 2801 Wade Hampton Blvd Ste 115-227 Taylors SC 29687-2781 Ph: () - | Illuminations Aba, Llc 305 Farmers Market St Taylors SC 29687-4614 Ph: (864) 256-4015 |
| NPI Number | 1639887599 |
|---|---|
| Provider Enumeration Date | 11/09/2022 |
| Last Update Date | 11/15/2022 |
| Certification Date | 11/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639887599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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