Individual
EMILY VICTORIA WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 LOST LAKE DR, SIMPSONVILLE, SC 29681-8133
(864) 652-6255
Mailing address
319 LOST LAKE DR, SIMPSONVILLE, SC 29681-8133
(864) 652-6255
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1217048
SC
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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