NPI 1003248287 · live from the CMS NPI Registry
Aba Depot LLC
Community/Behavioral Health in Florence, SC. National Provider Identifier 1003248287, active.
NPI record
| NPI | 1003248287 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Community/Behavioral Health 251S00000X |
| Practice location | 800 E Cheves St Ste 280, Florence, SC 29506 |
| Practice phone | 843-799-0076 |
| Mailing address | 3444 Lakeshore Drive, Florence, SC 29501 |
| Enumerated | July 30, 2013 |
| Last updated | April 26, 2024 |
| Authorized official | Spears Beckham, Owner |
| Other names | Edsolutions LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | — |
| Community/Behavioral Health primary | 251S00000X | bacb # 1-11-8879 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.