Individual
ELIZABETH RUTH COUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
480 JESSEN LANE, SUITE D, WANDO, SC 29492-7195
(843) 881-0330
Mailing address
2520 ATLANTIC PALMS LANE, APARTMENT 922, NORTH CHARLESTON, SC 29406-9298
(864) 804-7860
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-13023
SC
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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