Organization
DISABILITY AND AUTISM SERVICES OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GILLAM (MANAGER)
(843) 240-7001
Entity
Organization
Contact information
Practice address
83 OLDE CANAL LOOP, PAWLEYS ISLAND, SC 29585-7847
(843) 240-7001
(843) 235-0450
Mailing address
83 OLDE CANAL LOOP, PAWLEYS ISLAND, SC 29585-7847
(843) 240-7001
(843) 235-0450
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-04-1487
NC
Other
Enumeration date
05/15/2013
Last updated
05/15/2013
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