Southcrest ABA Therapy LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SOUTHCREST ABA THERAPY LLC

Practice address

221 Saint James Ave Ste 1
Goose Creek, SC 29445-3270

Phone

(843) 343-3576

NPI assigned

Feb 13, 2026

Organization subpart

No

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

Authorized official

Name

Asher Lax

Title

Director

Phone

(843) 343-3576

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1770940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770940800000",
    "number": "1992657746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 1",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 1",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270",
            "telephone_number": "843-343-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHCREST ABA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-13",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A",
        "authorized_official_last_name": "LAX",
        "authorized_official_first_name": "ASHER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "843-343-3576"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Enzaldo Smith, PT, DPT
• Scott Adam Smith, PT
• Teresa Joy Sommese, MD
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy LLC
• Kimberly Space, DPT
• Jay Spateholts
• Miranda Hildred Spurgeon, L.M.T.
• Jason S St Clair, PT
• John Scott Stadalsky, MD

• All providers in Goose Creek, SC
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; 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.