Individual
NICOLE M. SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1776 BURNING TREE RD., #312, COLUMBIA, SC 29210
(803) 319-1780
Mailing address
1776 BURNING TREE RD., #312, COLUMBIA, SC 29210
(803) 319-1780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
SC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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