Individual
DEASHIA NICOLE MAKUPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FRYE RD, GAFFNEY, SC 29340-4967
(864) 491-0000
Mailing address
300 FRYE RD, GAFFNEY, SC 29340-4967
(864) 491-0000
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
SC
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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