Individual
MR. ROBERT H. BEATY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
617 HILLCREST AVE, COLUMBIA, SC 29203-5657
(803) 814-4449
Mailing address
617 HILLCREST AVE, COLUMBIA, SC 29203-5657
(803) 814-4449
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-23254
BACB
—
Enumeration date
11/10/2016
Last updated
01/24/2020
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