Individual
ANYIA HOLSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
333 DIPLOMA LN, SPARTANBURG, SC 29303-4867
(803) 443-2178
Mailing address
333 DIPLOMA LN, SPARTANBURG, SC 29303-4867
(803) 443-2178
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-22-2411997
SC
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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