NPI 1669320008 · live from the CMS NPI Registry
Aba Supportive Care Sc LLC
Behavior Analyst in Myrtle Beach, SC. National Provider Identifier 1669320008, active.
NPI record
| NPI | 1669320008 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3100 Dick Pond Rd, Myrtle Beach, SC 29588 |
| Practice phone | 317-936-1240 |
| Enumerated | March 20, 2026 |
| Last updated | March 20, 2026 |
| Authorized official | Ruben Kesherim, President |
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.