Individual
PERDINA BRISBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2460 INDIA HOOK RD STE AND105, ROCK HILL, SC 29732-3530
(803) 366-6250
Mailing address
2580 LIN DO CT, SUMTER, SC 29150-1832
(803) 905-4427
(803) 905-4431
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-39040
SC
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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