Individual
TIMYA JALISA MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9361 TWO NOTCH RD, COLUMBIA, SC 29223-6430
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
Primary
RBT-24-383991
SC
Other
Enumeration date
07/09/2024
Last updated
03/05/2026
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