Individual
ELIZABETH HERNANDEZ VILLAGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
400 SPRING FOREST RD, GREENVILLE, SC 29615-2247
(864) 476-7400
Mailing address
200 ELFORD CT, SPARTANBURG, SC 29306-3250
(864) 476-7400
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66386
SC
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/22/2021
Last updated
07/03/2023
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