Individual
J'NIYAH MONIEK LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1711 CENTRAL AVE, SUMMERVILLE, SC 29483-9320
(843) 934-2697
Mailing address
205 AYERS CIR, SUMMERVILLE, SC 29485-3303
(843) 934-2697
(888) 298-0519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1568906394
SC
Other
Enumeration date
04/29/2026
Last updated
04/29/2026
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