Organization
ASPIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA WRIGHT (OWNER)
(843) 628-2935
Entity
Organization
Contact information
Practice address
222 RED BANK RD, GOOSE CREEK, SC 29445-4502
(843) 628-2935
Mailing address
PO BOX 1667, GOOSE CREEK, SC 29445-1667
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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