Individual
CLAUDIA BROOKE CUMMINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
175 N MAIN ST, RIDGEVILLE, SC 29472-8034
(843) 701-0375
Mailing address
175 N MAIN ST, RIDGEVILLE, SC 29472-8034
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB563240
SC
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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