NPI 1689452138 · live from the CMS NPI Registry
Bx Basics
Behavior Analyst in Irmo, SC. National Provider Identifier 1689452138, active.
NPI record
| NPI | 1689452138 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3 Gidding Ct, Irmo, SC 29063 |
| Practice phone | 803-497-4361 |
| Enumerated | September 18, 2023 |
| Last updated | September 18, 2023 |
| Authorized official | Takaya Burton, Owner |
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.