Wellformed AI

NPI 1689298531 · live from the CMS NPI Registry

Mary Etta Castles Able

Behavior Analyst in Columbia, SC. National Provider Identifier 1689298531, active.

NPI record

NPI1689298531 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2805 Millwood Ave, Columbia, SC 29205
Practice phone803-234-8596
Mailing address1505 Blanding St, Columbia, SC 29201
EnumeratedJune 5, 2020
Last updatedJune 1, 2022
Sole proprietorNo
Other namesMary Castsles

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X1-18-30002 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.