Individual
KYLEIGH CUBBAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
Mailing address
1521 CHERYL LN, MONCKS CORNER, SC 29486
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
SC
Other
Enumeration date
01/13/2025
Last updated
01/24/2025
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