Individual
EILEEN F KIRKHAM-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
(864) 520-1614
Mailing address
113 WHITSETT ST, GREENVILLE, SC 29601-3138
(864) 520-1614
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
1848827
SC
106S00000X
Behavior Technician
Primary
RBT-18-48827
SC
Other
Enumeration date
02/12/2019
Last updated
10/11/2021
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