Individual
KAITLIN CHERIE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2108 GREENE ST # 5495, COLUMBIA, SC 29205-1641
(803) 727-8647
(803) 627-8961
Mailing address
2108 GREENE ST # 5495, COLUMBIA, SC 29205-1641
(803) 727-8647
(803) 627-8961
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-46971
SC
Other
Enumeration date
02/07/2021
Last updated
02/07/2021
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