Individual
MOLLY PERSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1048 WILDWOOD CENTRE DR, COLUMBIA, SC 29229-8420
(706) 842-5330
(706) 842-5340
Mailing address
PO BOX 2567, AUGUSTA, GA 30903-2567
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-196977
CO
Other
Enumeration date
12/20/2021
Last updated
11/15/2022
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