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CHARLESTON PEDIATRIC REHABILITATION LLC NPI 1982189718


NPI Information

NPI: 1982189718
Provider Name: CHARLESTON PEDIATRIC REHABILITATION LLC
Classification: Behavior Analyst - 103K00000X
Entity Type: Organization

CLIA Number: 42D0955483

Address:
1407 ASHLEY RIVER RD
CHARLESTON, SC
ZIP 29407
Phone: (843) 364-5437
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CHARLESTON PEDIATRIC REHABILITATION LLC is a behavior analyst in Charleston, SC. The provider is a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. CHARLESTON PEDIATRIC REHABILITATION LLC NPI is 1982189718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1407 ASHLEY RIVER RD
CHARLESTON, SC
ZIP 29407-305
Phone: (843) 364-5437

The provider's authorized official is Michael Coyle .
The authorized official title is Owner and has the following contact phone number (843) 769-0663.

The CLIA number assigned to this NPI record is 42D0955483 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/27/2018 and was last updated on 9/27/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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