Individual
AIYANA LANGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
758 BRANNIGAN LN, COLUMBIA, SC 29229-6862
(803) 201-4083
Mailing address
758 BRANNIGAN LN, COLUMBIA, SC 29229-6862
(803) 201-4083
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-314548
SC
Other
Enumeration date
12/08/2023
Last updated
12/08/2023
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