Individual
MIKIA ALLYSA HARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(843) 647-8281
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-444759
SC
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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