Alston Hargrove

Individual provider Active NPI Behavior Technician · McCormick, SC

NPI 1952138281 · NPPES record last updated Sep 23, 2024

Key facts

NPI
1952138281
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
115 East Augusta St
McCormick, SC 29835
Phone
(843) 312-5082
NPI assigned
Sep 19, 2024
Sex
Male
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 East Augusta St
McCormick, SC 29835

Mailing address

112 Berwick Dr
Summerville, SC 29483-8153

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.