Individual
SHIASIA SIMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 GRACERN RD, COLUMBIA, SC 29210-7629
(706) 842-5330
(706) 842-5340
Mailing address
209 7TH ST FL 3, AUGUSTA, GA 30901-1486
(706) 842-5330
(706) 842-5340
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-25-15802
SC
106S00000X
Behavior Technician
RBT-22-232279
SC
Other
Enumeration date
11/11/2022
Last updated
01/29/2025
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