Individual
MS. STEPHANIE WARD MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LPES, NCSP
Contact information
Practice address
10524 S HIGHWAY 905, LONGS, SC 29568-6701
(843) 446-8898
Mailing address
10524 S HIGHWAY 905, LONGS, SC 29568-6701
(843) 446-8898
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
SC
103TS0200X
School Psychologist
4552
SC
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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