Individual
GARRETT COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
502 SIXTH BAXTER XING # B, FORT MILL, SC 29708-6596
(803) 335-0718
Mailing address
16255 VENTURA BLVD STE 900, ENCINO, CA 91436-2317
(720) 468-4145
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-412420
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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