Organization
IN HIS IMAGE OUTREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY WHITE MS (ADMINISTRATOR)
(864) 381-5248
Entity
Organization
Contact information
Practice address
1100 W FRANKLIN ST, ANDERSON, SC 29624-2012
(864) 381-5248
Mailing address
PO BOX 413, BELTON, SC 29627-0413
(864) 381-5248
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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