Individual
KATIE CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2511 TREESIDE DR, COLUMBIA, SC 29204-2254
(864) 838-5212
Mailing address
2511 TREESIDE DR, COLUMBIA, SC 29204-2254
(864) 838-5212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-12-12310
SC
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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