Individual
YAMILKA TATIANA MALONE BATISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 ROPER MOUNTAIN RD UNIT 440-A, GREENVILLE, SC 29615-4236
(864) 204-0440
Mailing address
200 ASHE DR APT B5, GREENVILLE, SC 29617-3262
(787) 466-2530
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-426536
SC
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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