Organization
THE AUTISM BEHAVIOR CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA ALANA RAINES BCBA (OWNER/CLINICAL DIRECTOR)
(803) 546-6922
Entity
Organization
Contact information
Practice address
110 STEPHANEE LN, RIDGEWAY, SC 29130-9408
(803) 546-6922
Mailing address
110 STEPHANEE LN, RIDGEWAY, SC 29130-9408
(803) 546-6922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28107
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
09/23/2019
Last updated
09/24/2019
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