Individual
KELLY MCALISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2267 BEAUCLAIR CT, MYRTLE BEACH, SC 29579-3805
(980) 242-1293
Mailing address
2267 BEAUCLAIR CT, MYRTLE BEACH, SC 29579-3805
(980) 242-1293
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/03/2022
Last updated
03/03/2022
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