Organization
BUILDING INDEPENDENCE TOGETHER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA WILSON LPC, BCABA (PRESIDENT)
(843) 934-1968
Entity
Organization
Contact information
Practice address
3389 PRICES BRIDGE LN, WALTERBORO, SC 29488-6983
(843) 934-1968
(888) 298-0519
Mailing address
3389 PRICES BRIDGE LN, WALTERBORO, SC 29488-6983
(843) 934-1968
(888) 298-0519
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
305R00000X
Preferred Provider Organization
11521189
SC
Other
Enumeration date
12/13/2016
Last updated
03/13/2026
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