Maggie Allen

Individual provider Active NPI Behavior Technician · Columbia, SC

NPI 1982193991 · NPPES record last updated May 4, 2018

Key facts

NPI
1982193991
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
License
18-50371 (SC)
Practice address
1048 Wildwood Centre Dr
Columbia, SC 29229-8420
Phone
(803) 999-3752
NPI assigned
May 4, 2018
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

State licenses

LicenseStateTypeSpecialty
18-50371SCMDBehavior Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 18-50371 SC Yes

Addresses

Primary practice location

1048 Wildwood Centre Dr
Columbia, SC 29229-8420

Mailing address

2580 Lin DO CT
Sumter, SC 29150-1832
Phone (803) 905-4427

Other providers in Columbia, SC

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

Sources for this page

Verify at the official NPI Registry.