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Organization
FROM ROOTS TO WINGS BEHAVIORAL CONSULTING AND SUPERVISION, LLC
Active
Organization
FROM ROOTS TO WINGS BEHAVIORAL CONSULTING AND SUPERVISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M CLEMENTE MS, BCBA (OWNER/BEHAVIOR ANALYST)
(803) 207-1695
Entity
Organization
Contact information
Practice address
885 GOLD HILL RD # 3104, FORT MILL, SC 29708-7946
(803) 902-5943
(803) 675-0443
Mailing address
885 GOLD HILL RD # 3104, FORT MILL, SC 29708-7946
(803) 902-5943
(803) 675-0443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NULL
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
NULL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/24/2025
Last updated
12/10/2025
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