Individual
LANEISHA LEIGH MOSKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 372, IRMO, SC 29063-0372
(803) 913-8567
Mailing address
311 CONRAD CIR, COLUMBIA, SC 29212-2623
(803) 913-8567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
2719808
SC
Other
Enumeration date
07/16/2026
Last updated
07/16/2026
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