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Individual

BRITTNIE LORRAINE BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
751 E. GEORGIA STREET, WOODRUFF, SC 29388
(864) 476-7400
(864) 476-0033
Mailing address
751 E. GEORGIA ST., WOODRUFF, SC 29388
(964) 476-7400
(864) 476-0033

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106E00000X
Assistant Behavior Analyst

Other

Enumeration date
01/09/2020
Last updated
10/09/2024
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