Organization
SDS BEHAVIORAL CONSULTING LLC
Active
Other names
SDS Behavioral Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE DIZZLEY-STREETER BCBA (OWNER)
(803) 459-8022
Entity
Organization
Contact information
Practice address
194 CYPRESS FOREST DR, MONCKS CORNER, SC 29461-8441
(803) 459-8022
(803) 845-3510
Mailing address
194 CYPRESS FOREST DR, MONCKS CORNER, SC 29461-8441
(803) 459-8022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BA1197
—
SC
Enumeration date
09/16/2022
Last updated
01/25/2023
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