Individual
MYA LYNN GARTENSLEBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(855) 832-6727
Mailing address
340 PIN OAK DR, LEXINGTON, SC 29073-7915
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15896
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/09/2021
Last updated
03/10/2025
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