| Pee-wee's Behavioral Services LLC | |
|
2952 Little Bethel Rd Green Sea SC 29545-3729 | |
| (843) 489-1025 | |
| Not Available |
| Full Name | Pee-wee's Behavioral Services LLC |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2952 Little Bethel Rd, Green Sea, South Carolina |
| Authorized Official Name and Position | Sefa Bailey (OWNER) |
| Authorized Official Contact | 8434891025 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee-wee's Behavioral Services LLC 2952 Little Bethel Rd Green Sea SC 29545-3729 Ph: (843) 489-1025 | Pee-wee's Behavioral Services LLC 2952 Little Bethel Rd Green Sea SC 29545-3729 Ph: (843) 489-1025 |
| NPI Number | 1629769583 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629769583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | () | Primary |