NPI 1366992075 · live from the CMS NPI Registry
La'Toya Felicia Brunson
Behavior Analyst in Ridgeway, SC. National Provider Identifier 1366992075, active.
NPI record
| NPI | 1366992075 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 110 Stephanee Ln, Ridgeway, SC 29130 |
| Practice phone | 803-546-6922 |
| Enumerated | October 5, 2016 |
| Last updated | July 24, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | — |
| Assistant Behavior Analyst | 106E00000X | — |
| Behavior Analyst primary | 103K00000X | 1-21-53756 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.