Individual
VERONICA DISHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(803) 714-3446
(803) 824-6189
Mailing address
460 PIN OAK DR, LEXINGTON, SC 29073-7916
(803) 714-3446
(803) 824-6189
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-100733
—
Other
Enumeration date
10/12/2019
Last updated
10/12/2019
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