# FROM ROOTS TO WINGS BEHAVIORAL CONSULTING AND SUPERVISION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588451181
- **Authorized official:** STEPHANIE M CLEMENTE MS, BCBA (OWNER/BEHAVIOR ANALYST)
- **Authorized official phone:** (803) 207-1695

## Contact information

- **Practice address:** 410 HERLONG AVE S STE 101, ROCK HILL, SC 29732-8350
- **Practice address phone:** (803) 902-5943
- **Practice address fax:** (803) 675-0443
- **Mailing address:** 410 HERLONG AVE S STE 101, ROCK HILL, SC 29732-8350
- **Mailing address phone:** (803) 902-5943
- **Mailing address fax:** (803) 675-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | — | NULL | Yes |
| 103K00000X | Behavior Analyst | — | — | Yes |
| 106S00000X | Behavior Technician | — | NULL | — |
| 106S00000X | Behavior Technician | — | — | — |

## Other

- **Enumeration date:** 04/24/2025
- **Last updated:** 10/16/2026