Organization
ATLAS SUPPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN ATLAS MARTIN PHD. (PRESIDENT)
(803) 582-9003
Entity
Organization
Contact information
Practice address
113 SALUDA SHORES CIR, LEESVILLE, SC 29070-7235
(803) 582-9003
(803) 234-2927
Mailing address
113 SALUDA SHORES CIR, LEESVILLE, SC 29070-7235
(803) 582-9003
(803) 234-2927
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-05-2205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
WP8953
—
SC
Enumeration date
10/05/2009
Last updated
04/22/2015
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