Organization
AUTISM SERVICES OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAE PEAK (BILLING DIRECTOR)
(803) 212-8971
Entity
Organization
Contact information
Practice address
1310 WOODROW ST, COLUMBIA, SC 29205-1229
(803) 212-8971
Mailing address
PO BOX 5715, COLUMBIA, SC 29250-5715
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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