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Individual

ALLISON PETRALIA-BUIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
119 FAIRLANE DR, SIMPSONVILLE, SC 29680-6106
(803) 361-6325
Mailing address
119 FAIRLANE DR, SIMPSONVILLE, SC 29680-6106
(803) 361-6325

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-9415

Other

Enumeration date
09/24/2012
Last updated
07/21/2025
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