Individual
MISS DATISHA YELDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
7 PENDERGAST RD, GREENVILLE, SC 29605-6251
(803) 293-6722
Mailing address
7 PENDERGAST RD, GREENVILLE, SC 29605-6251
(803) 293-6722
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
SC
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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