| The Autism Behavior Connection Llc | |
|
110 Stephanee Ln Ridgeway SC 29130-9408 | |
| (803) 546-6922 | |
| Not Available |
| Full Name | The Autism Behavior Connection Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 110 Stephanee Ln, Ridgeway, South Carolina |
| Authorized Official Name and Position | Mia Alana Raines (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8035466922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Autism Behavior Connection Llc 110 Stephanee Ln Ridgeway SC 29130-9408 Ph: (803) 546-6922 | The Autism Behavior Connection Llc 110 Stephanee Ln Ridgeway SC 29130-9408 Ph: (803) 546-6922 |
| NPI Number | 1295386159 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 09/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295386159 | NPI | - | NPPES |
| 1-17-28107 | Other | BEHAVIOR ANALYST CERTIFICATION BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Brown And Drake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Wateree Dam Rd, Ridgeway, SC 29130 Phone: 803-272-0412 Fax: 803-272-0412 | |
The Lakehouse, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Wateree Dam Rd, Ridgeway, SC 29130 Phone: 803-272-0412 Fax: 803-272-0412 |