Individual
LINDA NICOLE BAKELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 LEEDS AVE STE 101, NORTH CHARLESTON, SC 29405-7608
(854) 222-3773
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
(866) 500-2186
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
SC
104100000X
Social Worker
Primary
—
SC
106S00000X
Behavior Technician
—
SC
Other
Enumeration date
04/23/2021
Last updated
04/25/2022
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