Individual
ANGEL OBANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
1964 ASHLEY RIVER RD UNIT 80901B, CHARLESTON, SC 29416-1637
(803) 372-7343
(888) 808-4249
Mailing address
1964 ASHLEY RIVER RD UNIT 80901B, CHARLESTON, SC 29416-1637
(803) 372-7343
(888) 808-4249
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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