Provider Demographics
NPI:1487263836
Name:HALL, LYNDSAY MORGAN (RBT)
Entity type:Individual
Prefix:
First Name:LYNDSAY
Middle Name:MORGAN
Last Name:HALL
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4993 OHEAR AVE APT 5107
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-5026
Mailing Address - Country:US
Mailing Address - Phone:843-568-6748
Mailing Address - Fax:
Practice Address - Street 1:4993 OHEAR AVE APT 5107
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-5026
Practice Address - Country:US
Practice Address - Phone:843-568-6748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician