Individual
KHANCE AZARIA LONDON DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(803) 235-4555
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
SC
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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