Individual
ELLIE PHILLIPS BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
828 WAPPOO RD, CHARLESTON, SC 29407-5865
(843) 297-8470
Mailing address
828 WAPPOO RD, CHARLESTON, SC 29407-5865
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB959779
AL
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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