Individual
MRS. ELIZABETH MOORE PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAT, BCABA
Contact information
Practice address
3115 SUNSET BLVD, COLUMBIA, SC 29205-1856
(803) 791-3222
(803) 905-4431
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-04-1371
SC
Other
Enumeration date
01/15/2016
Last updated
03/18/2016
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