Organization
PALMETTO BEHAVIORAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY LUCAS BCBA (OWNER)
(803) 309-3399
Entity
Organization
Contact information
Practice address
308 S MARBLE ST, WEST COLUMBIA, SC 29169-7212
(803) 309-3399
(803) 888-4064
Mailing address
308 S MARBLE ST, WEST COLUMBIA, SC 29169-7212
(803) 309-3399
(803) 888-4064
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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