Kasey Driscoll

Individual provider Active NPI Behavior Technician · McCormick, SC

NPI 1902667397 · NPPES record last updated Jan 22, 2024

Key facts

NPI
1902667397
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
115 Augusta Street
McCormick, SC 29835
Phone
(813) 926-5454
NPI assigned
Jan 22, 2024
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X SC Yes

Addresses

Primary practice location

115 Augusta Street
McCormick, SC 29835

Mailing address

1522 Aquabelle LN Unit 18104
Charleston, SC 29414-8203
Phone (215) 350-7947

Other providers in McCormick, SC

All providers in McCormick, SC · Behavior Technician in South Carolina

Sources for this page

Verify at the official NPI Registry.