Individual
ETHAN DEWEY BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
2580 LIN-DO CT, SUMTER, SC 29150-1832
(803) 905-4427
Mailing address
1529 SAM RITTENBERG BLVD, UNIT 1-B, CHARLESTON, SC 29407-4194
(888) 547-2250
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-16-7040
—
Other
Enumeration date
06/03/2016
Last updated
07/15/2016
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