Individual
TIERNEY REGAN BEEBOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 OHEAR AVE # 24, NORTH CHARLESTON, SC 29405-5081
(843) 934-7575
Mailing address
219 SAWYER CIR UNIT 824, CHARLESTON, SC 29492-8644
(814) 525-8288
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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