Individual
KATARINA BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
659 CANTERBURY DR APT 129B, MYRTLE BEACH, SC 29579-4113
(843) 331-9366
Mailing address
659 CANTERBURY DR APT 129B, MYRTLE BEACH, SC 29579-4113
(843) 331-9366
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-41610
SC
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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