Individual
KAILEY ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
236 LAGAVULIN DR, SUMTER, SC 29154-7910
(803) 236-9534
Mailing address
236 LAGAVULIN DR, SUMTER, SC 29154-7910
(803) 236-9534
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1510744
SC
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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