ABA Depot LLC
Organization Active NPI Community/Behavioral Health Agency · Florence, SC
NPI 1003248287 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1003248287
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- BACB # 1-11-8879 (SC)
- Legal business name
- ABA DEPOT LLC
- Practice address
- 800 E Cheves St Ste 280
Florence, SC 29506-2652 - Phone
- (843) 799-0076
- Fax
- (800) 557-0208
- NPI assigned
- Jul 30, 2013
- Organization subpart
- No
Authorized official
- Name
- Spears Beckham, BCBA
- Title
- Owner
- Phone
- (843) 799-0076
Practitioners 16
-
Breannah Katrice Davis-Bloom, BCBA, LBA
National Provider Directory
Locations
1513 Heritage Ln
Florence, SC 29505
Phone (803) 757-1744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst |
103K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | BACB # 1-11-8879 | SC | Yes |
Addresses
Primary practice location
800 E Cheves St Ste 280
Florence, SC 29506-2652
Mailing address
3444 Lakeshore Drive
Florence, SC 29501
Phone (843) 799-0076
Other practice location 1
738 W Liberty St Ste B
Sumter, SC 29150-4745
Phone (803) 757-0208
Other names
- Edsolutions LLC
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All providers in Florence, SC · Community/Behavioral Health Agency in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.