Organization
PALMETTO AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA WALLACE BCBA (CLINICAL DIRECTOR/BCBA)
(803) 487-8508
Entity
Organization
Contact information
Practice address
925 ROXBURGH AVE, ROCK HILL, SC 29732-5505
(803) 487-8508
Mailing address
925 ROXBURGH AVE, ROCK HILL, SC 29732-5505
(803) 487-8508
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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