Individual
ABIGAIL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
418 OLD FORGE RD, CHAPIN, SC 29036-9753
(919) 805-2098
(866) 568-8043
Mailing address
2805 PARK ST, COLUMBIA, SC 29201-1644
(828) 514-4107
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB673156
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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