Individual
MRS. TAYLOR LEIGH SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3924 FOREST DR STE 3, COLUMBIA, SC 29204-4148
(803) 258-0533
(803) 929-7944
Mailing address
221 LONGTOWN RD W, BLYTHEWOOD, SC 29016-8184
(803) 920-8834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64496
SC
106S00000X
Behavior Technician
RBT-18-52654
NC
Other
Enumeration date
07/06/2020
Last updated
04/03/2023
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