Organization
ABC APPLIED INTERVENTIONS AND SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALISIA BAUKNIGHT CAREY (PRESIDENT)
(803) 960-0229
Entity
Organization
Contact information
Practice address
553 CHISOLM WAY, LEXINGTON, SC 29073-8076
(803) 960-0229
Mailing address
553 CHISOLM WAY, LEXINGTON, SC 29073-8076
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX8288
—
SC
Enumeration date
10/20/2009
Last updated
10/20/2009
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