Individual
KRISTEN HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1310 WOODROW ST, COLUMBIA, SC 29205-1229
(803) 466-4089
Mailing address
959 E MAIN ST APT 526, LEXINGTON, SC 29072-4262
(562) 468-8989
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-35246
SC
Other
Enumeration date
12/31/2015
Last updated
04/27/2019
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