NPI 1619705167 · live from the CMS NPI Registry
Aaliyah Broadwater
Behavior Analyst in Columbia, SC. National Provider Identifier 1619705167, active.
NPI record
| NPI | 1619705167 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1505 Blanding St, Columbia, SC 29201 |
| Practice phone | 803-929-0011 |
| Enumerated | July 25, 2024 |
| Last updated | July 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.