| Multidisciplinary Therapy | |
|
1634 Taylor St Columbia SC 29201-3451 | |
| (803) 410-5483 | |
| Not Available |
| Full Name | Multidisciplinary Therapy |
|---|---|
| Speciality | Behavior Analyst |
| Location | 1634 Taylor St, Columbia, South Carolina |
| Authorized Official Name and Position | Tori Sullivan Leathers (PRESIDENT/CEO) |
| Authorized Official Contact | 8034105483 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Multidisciplinary Therapy 1634 Taylor St Columbia SC 29201-3451 Ph: (803) 410-5483 | Multidisciplinary Therapy 1634 Taylor St Columbia SC 29201-3451 Ph: (803) 410-5483 |
| NPI Number | 1386408490 |
|---|---|
| Provider Enumeration Date | 02/08/2024 |
| Last Update Date | 02/08/2024 |
| Certification Date | 02/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386408490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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