Individual
AMBER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2 HARBISON WAY, COLUMBIA, SC 29212-3402
(803) 681-0816
Mailing address
101 BYWATER CT, LEXINGTON, SC 29072-7738
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38269
SC
106S00000X
Behavior Technician
RBT-16-17419
SC
Other
Enumeration date
06/27/2018
Last updated
09/26/2019
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