Individual
SPENCER RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
Mailing address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
SC
Other
Enumeration date
05/20/2020
Last updated
11/09/2021
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