NPI 1922457688 · live from the CMS NPI Registry
Ethan Dewey Brewer, BCaBA
Behavior Analyst in Sumter, SC. National Provider Identifier 1922457688, active.
NPI record
| NPI | 1922457688 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2580 Lin-DO Ct, Sumter, SC 29150 |
| Practice phone | 803-905-4427 |
| Mailing address | 1529 Sam Rittenberg Blvd, Unit 1-B, Charleston, SC 29407 |
| Enumerated | June 3, 2016 |
| Last updated | July 15, 2016 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 0-16-7040 |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.