Individual
TIA WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
187 N CHURCH ST STE A, SPARTANBURG, SC 29306-5198
(864) 384-7477
(864) 383-8131
Mailing address
187 N CHURCH ST STE A, SPARTANBURG, SC 29306-5198
(864) 384-7477
(864) 383-8131
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56857
—
Other
Enumeration date
01/03/2022
Last updated
06/26/2025
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