Individual
ANGELA SUSANA PINEROS BAUTISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1723 FRICK AVE UNIT B, CHARLESTON, SC 29404-2232
(843) 818-8236
Mailing address
1723 FRICK AVE UNIT B, CHARLESTON, SC 29404-2232
(843) 818-8236
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/06/2025
Last updated
05/20/2025
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