Organization
FROM ROOTS TO WINGS BEHAVIORAL CONSULTING AND SUPERVISION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE M CLEMENTE MS, BCBA (OWNER/BEHAVIOR ANALYST)
(803) 207-1695
Entity
Organization
Contact information
Practice address
885 GOLD HILL RD # 3104, FORT MILL, SC 29708-7946
(803) 902-5943
(803) 675-0443
Mailing address
885 GOLD HILL RD # 3104, FORT MILL, SC 29708-7946
(803) 902-5943
(803) 675-0443
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/24/2025
Last updated
12/10/2025
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