Organization
HOPEREACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KNIGHT BCBA (CLINICAL DIRECTOR)
(864) 476-7400
Entity
Organization
Contact information
Practice address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
(864) 476-0033
Mailing address
751 E GEORGIA RD, WOODRUFF, SC 29388-8787
(864) 476-7400
(864) 476-0033
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
SC
261QD1600X
Developmental Disabilities Clinic/Center
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXG304
—
SC
Enumeration date
06/21/2012
Last updated
06/06/2023
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