Organization
CHARLESTON AUTISM ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA MISENHELTER (CAA BOARD PRESIDENT)
(843) 881-0330
Entity
Organization
Contact information
Practice address
930 PINE HOLLOW RD, MOUNT PLEASANT, SC 29464
(843) 881-0330
Mailing address
930 PINE HOLLOW RD, MT PLEASANT, SC 29464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1500618
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356664437
NATIONAL PROVIDER IDENTIFIER
SC
Enumeration date
03/19/2015
Last updated
03/19/2015
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