Individual
JAIME L GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
133 MAE LN, COWPENS, SC 29330-9027
(855) 832-6727
Mailing address
133 MAE LN, COWPENS, SC 29330-9027
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
SC
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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