| Behavioral Innovations Therapy, Llc | |
|
328 Glen St Summerville SC 29483-4653 | |
| (843) 834-2656 | |
| (888) 298-0519 |
| Full Name | Behavioral Innovations Therapy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 328 Glen St, Summerville, South Carolina |
| Authorized Official Name and Position | Melissa Wilson (PRESIDENT) |
| Authorized Official Contact | 8438342656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Innovations Therapy, Llc 328 Glen St Summerville SC 29483-4653 Ph: (843) 834-2656 | Behavioral Innovations Therapy, Llc 328 Glen St Summerville SC 29483-4653 Ph: (843) 834-2656 |
| NPI Number | 1568906394 |
|---|---|
| Provider Enumeration Date | 12/13/2016 |
| Last Update Date | 11/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568906394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
| 305R00000X | Preferred Provider Organization | 11521189 (South Carolina) | Secondary |
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