South Carolina Interventionists, Inc.

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTH CAROLINA INTERVENTIONISTS, INC.

Practice address

154A Waccamaw Medical Park CT
Conway, SC 29526-8965

Phone

(843) 347-6015

NPI assigned

Jun 19, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Deborah WardellNPI 1235451535

Title

Executive Director

Phone

(843) 424-1129

Specialties & licenses 1

Addresses

Tax ID family

South Carolina Interventionists Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• South Carolina Interventionists, Inc.

  • Behavior Analyst
  • Myrtle Beach, SC
  • NPI 1417226028
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deborah Ann Wardell, BCBA

  • Behavior Analyst
  • Mount Pleasant, SC
  • NPI 1235451535
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497830400000",
    "number": "1336679646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 AUBURN LN APT 19C",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295755157",
            "telephone_number": "843-424-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154A WACCAMAW MEDICAL PARK CT",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295268965",
            "telephone_number": "843-347-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CAROLINA INTERVENTIONISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-19",
        "last_updated": "2017-06-19",
        "status": "A",
        "authorized_official_last_name": "WARDELL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "843-424-1129",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Southern Oak Dental Conway, LLC

• All providers in Conway, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.