Individual
JAMEA RAVENELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2070 NORTHBROOK BLVD STE B4, NORTH CHARLESTON, SC 29406-9254
(843) 569-3033
Mailing address
2070 NORTHBROOK BLVD STE B4, NORTH CHARLESTON, SC 29406-9254
(843) 569-3033
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
22-233875
SC
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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