Provider Demographics
NPI:1215329750
Name:ABA AUTISM SERVICES OF SOUTH CAROLINA, LLP
Entity type:Organization
Organization Name:ABA AUTISM SERVICES OF SOUTH CAROLINA, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, BCBA
Authorized Official - Phone:803-582-8012
Mailing Address - Street 1:419 THE PARKWAY, PMB #141
Mailing Address - Street 2:ABA AUTISM SERVICES OF SC, LLP
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650
Mailing Address - Country:US
Mailing Address - Phone:803-582-8012
Mailing Address - Fax:803-306-6743
Practice Address - Street 1:419 THE PARKWAY, PMB #141
Practice Address - Street 2:ABA AUTISM SERVICES OF SC, LLP
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650
Practice Address - Country:US
Practice Address - Phone:803-580-3720
Practice Address - Fax:803-306-6743
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty