Individual
MRS. CYNTHIA ELIZABETH ROYSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA, M. ED.
Contact information
Practice address
11079 DEEP COVE DR, TEGA CAY, SC 29708-9382
(704) 458-2436
Mailing address
11079 DEEP COVE DR, TEGA CAY, SC 29708-9382
(704) 458-2436
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-28774
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-17-28774
BOARD CERTIFIED BEHAVIOR ANALYST (BCBA)
—
01
—
290101
SPECIAL EDUCATION (MULTI-CATEGORICAL); PROFESSIONAL CERTIFICATE
SC
Enumeration date
05/11/2021
Last updated
05/11/2021
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