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Individual

ANDREA HEATHER CORUM BARNHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
333 W BUTLER ST, LEXINGTON, SC 29072-2605
(803) 714-3446
Mailing address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(803) 714-3446

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-50938
SC
106S00000X
Behavior Technician
16-26262
SC

Other

Enumeration date
01/02/2018
Last updated
11/01/2021
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