Individual
TAYLOR SANAA NIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
328 GLEN ST, SUMMERVILLE, SC 29483-4653
(843) 460-2605
Mailing address
310 EVESHAM AVE, MONCKS CORNER, SC 29461-8851
(843) 259-3805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-420419
SC
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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