Individual
ALEX MOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2049 SAVANNAH HWY STE D, CHARLESTON, SC 29407-2228
(843) 507-2299
Mailing address
721 TALISON AVE APT 101, DANIEL ISLAND, SC 29492-6334
(860) 806-2027
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
107735590
SC
Other
Enumeration date
07/27/2026
Last updated
07/27/2026
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