Individual
TAYLOR BREANNA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
511 W BUTLER RD, GREENVILLE, SC 29607-4890
(864) 757-9918
Mailing address
219 GERALD DR, SIMPSONVILLE, SC 29681-4111
(864) 757-9918
(864) 757-9921
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-10989
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-20-10989
BACB- BEHAVIOR ANALYST CERIFICATION BOARD
SC
Enumeration date
03/18/2020
Last updated
03/18/2020
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