Individual
KYIA KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(603) 393-4464
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(603) 393-4464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-41445
NH
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/26/2018
Last updated
08/24/2021
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