Organization
QUALITY AUTISM CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRATTON GAULT MMFT, BCBA (OWNER)
(864) 490-1668
Entity
Organization
Contact information
Practice address
123 DUNNSMORE DR, INMAN, SC 29349-7210
(864) 490-1668
Mailing address
123 DUNNSMORE DR, INMAN, SC 29349-7210
(864) 490-1668
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1-15-21097
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093174096
PERSONAL NPI
—
01
—
13945091
CAQH
—
05
—
BA1026
—
SC
Enumeration date
07/12/2017
Last updated
07/21/2022
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