NPI 1699252502 · live from the CMS NPI Registry
Miranda Bennett, BCBA
Behavior Analyst in Spartanburg, SC. National Provider Identifier 1699252502, active.
NPI record
| NPI | 1699252502 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 200 Elford Ct, Spartanburg, SC 29306 |
| Practice phone | 864-804-4895 |
| Enumerated | July 24, 2018 |
| Last updated | May 3, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-20-41378 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.