Palmetto Autism Services | |
925 Roxburgh Ave Rock Hill SC 29732-5505 | |
(803) 487-8508 | |
Not Available |
Full Name | Palmetto Autism Services |
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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 |
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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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