Individual
MRS. OCTAVIA VADAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5052 PADDY FIELD WAY # A, LADSON, SC 29456-6773
(786) 390-3674
(185) 563-1885
Mailing address
5052 PADDY FIELD WAY # A, LADSON, SC 29456-6773
(786) 390-3674
(185) 563-1885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-59398
SC
106S00000X
Behavior Technician
RBT-17-30625
SC
Other
Enumeration date
07/30/2020
Last updated
09/21/2024
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