Organization
BOUYA BEHAVIOR SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON NICHOLE MARTINEZ MSP/BH, BCBA (OWNER)
(352) 263-7858
Entity
Organization
Contact information
Practice address
425 OLD GEORGIA RD, PELZER, SC 29669-9561
(352) 263-7858
Mailing address
425 OLD GEORGIA RD, PELZER, SC 29669-9561
(352) 263-7858
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
04/30/2024
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