Organization
AUTISM INSTITUTE OF SOUTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA ANN TALBERT MCCARTHY ED.D., BCBA-D (BOARD CERTIFIED BEHAVIOR ANALYST-D)
(803) 790-9975
Entity
Organization
Contact information
Practice address
3924 FOREST DR, SUITE #3, COLUMBIA, SC 29204-4150
(803) 790-9975
Mailing address
3949 KENILWORTH RD, COLUMBIA, SC 29205-1503
(803) 790-9975
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
BACB #1-06-3080
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EX2148
—
SC
05
—
EXG320
—
SC
Enumeration date
03/28/2011
Last updated
03/28/2011
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