Organization
AUTISM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORRIE G. SPENCER BCBA PHD (OWNER/PRESIDENT)
(843) 706-0831
Entity
Organization
Contact information
Practice address
29 PLANTATION PARK DR STE 204, BLUFFTON, SC 29910-9008
(843) 706-0831
(843) 706-0830
Mailing address
29 PLANTATION PARK DR STE 204, BLUFFTON, SC 29910-9008
(843) 706-0831
(843) 706-0830
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1062833
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP7834
—
SC
Enumeration date
10/16/2017
Last updated
10/16/2017
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