Individual
ANNA BLANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 JOHNSON RD, CHARLESTON, SC 29407-7515
(330) 383-6628
Mailing address
1511 SEABAGO DR, CHARLESTON, SC 29414-7922
(330) 383-6628
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-53182
SC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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