Individual
LAUREN KIDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
311 CONISTON PL, ROCK HILL, SC 29732-8592
(803) 984-9615
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(803) 984-9615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-161311
SC
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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