| Palmetto Autism Services | |
|
925 Roxburgh Ave Rock Hill SC 29732-5505 | |
| (803) 487-8508 | |
| Not Available |
| Full Name | Palmetto Autism Services |
|---|---|
| Speciality | Behavior Analyst |
| Location | 925 Roxburgh Ave, Rock Hill, South Carolina |
| Authorized Official Name and Position | Laura Wallace (CLINICAL DIRECTOR/BCBA) |
| Authorized Official Contact | 8034878508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Autism Services 925 Roxburgh Ave Rock Hill SC 29732-5505 Ph: (803) 487-8508 | Palmetto Autism Services 925 Roxburgh Ave Rock Hill SC 29732-5505 Ph: (803) 487-8508 |
| NPI Number | 1457941908 |
|---|---|
| Provider Enumeration Date | 01/19/2021 |
| Last Update Date | 01/19/2021 |
| Certification Date | 01/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457941908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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