NPI 1902579360 · live from the CMS NPI Registry
De'Mara Barr
Behavior Analyst in Summerville, SC. National Provider Identifier 1902579360, active.
NPI record
| NPI | 1902579360 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 120 E 5th North St, Summerville, SC 29483 |
| Practice phone | 843-801-4214 |
| Mailing address | 11206 Brookstone Way, Summerville, SC 29486 |
| Enumerated | July 30, 2021 |
| Last updated | July 30, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | RBT-21-178167 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.