Virginia Lanier, M.A. ABA, BCBA

Individual provider Active NPI Behavior Analyst · Woodruff, SC

NPI 1124548862 · NPPES record last updated Aug 15, 2019

Key facts

NPI
1124548862
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1-17-26299
Practice address
751 E Georgia Street
Woodruff, SC 29388
Phone
(864) 476-7400
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Associate of Business Administration, Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-26299 Yes

Addresses

Primary practice location

751 E Georgia Street
Woodruff, SC 29388

Mailing address

751 E Georgia Street
Woodruff, SC 29388

Other practice location 1

1505 Blanding St
Columbia, SC 29201-2906
Phone (803) 929-0011

Other providers in Woodruff, SC

All providers in Woodruff, SC · Behavior Analyst in South Carolina

Sources for this page

Verify at the official NPI Registry.