Individual
TAMMIE DELIBERTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 BELLADORA RD, CONWAY, SC 29527-6274
(718) 702-7594
Mailing address
2108 BELLADORA RD, CONWAY, SC 29527-6274
(718) 702-7594
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25455
SC
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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