Organization
APPLIED BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALONZO J COLE III (OWNER PSYCHOLOGIST-)
(843) 235-9745
Entity
Organization
Contact information
Practice address
53 COMMONS CT, PAWLEYS ISLAND, SC 29585-6301
(843) 235-9745
(765) 628-7401
Mailing address
53 COMMONS CT, PAWLEYS ISLAND, SC 29585-6301
(843) 235-9745
(765) 628-7401
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
2220
NC
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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