Individual
AUDREY BRANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MAIN ST STE 300, COLUMBIA, SC 29201-3266
(877) 418-2978
(866) 500-2186
Mailing address
104 HANGING MOSS RD, SUMMERVILLE, SC 29485-7866
(508) 264-4682
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2015
Last updated
01/29/2021
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