Organization
CRESCENT CHILD DEVELOPMENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA MARIE GREGORI (OWNER/DIRECTOR)
(843) 813-1538
Entity
Organization
Contact information
Practice address
2810 ASHLEY PHOSPHATE RD, B-11, NORTH CHARLESTON, SC 29418-6405
(843) 813-1538
(888) 813-3318
Mailing address
966 GOVERNORS CT, MOUNT PLEASANT, MOUNT PLEASANT, SC 29464-9257
(843) 813-1538
(888) 813-3318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
235Z00000X
Speech-Language Pathologist
2212
SC
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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