Individual
MR. PATRICK ANDRE' BELTON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MAIN ST, COLUMBIA, SC 29201-3204
(803) 419-5861
Mailing address
500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 33441-1817
(803) 419-5861
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/18/2016
Last updated
12/23/2016
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