Individual
ELIZABETH COUNTRYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
6705 WHITE HORSE RD, GREENVILLE, SC 29611-2503
(704) 654-8599
(980) 938-6088
Mailing address
6705 WHITE HORSE RD, GREENVILLE, SC 29611-2503
(704) 654-8599
(980) 938-6088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60599
SC
106S00000X
Behavior Technician
RBT-19-94698
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-60599
BACB CERTIFICATION
SC
Enumeration date
09/23/2019
Last updated
07/29/2025
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