Individual
PEYTON FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2952 LITTLE BETHEL RD, GREEN SEA, SC 29545-3729
(843) 733-2184
Mailing address
330 PADDINGTON CT UNIT 5, MYRTLE BEACH, SC 29588-9523
(843) 455-8765
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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