Individual
LISA BARBREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 KIMBARK LN, FOUNTAIN INN, SC 29644
(864) 363-6447
Mailing address
613 KIMBARK LN, FOUNTAIN INN, SC 29644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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