Individual
ANSLIE CALLAWAY PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1505 BLANDING ST, COLUMBIA, SC 29201
(912) 536-2002
Mailing address
PO BOX 7514, COLUMBIA, SC 29202-7514
(912) 536-2002
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-15-6598
GA
103K00000X
Behavior Analyst
Primary
1-18-33044
—
Other
Enumeration date
07/14/2015
Last updated
11/14/2019
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