Provider Demographics
NPI:1891501235
Name:BELOVED BEHAVIORS LLC
Entity type:Organization
Organization Name:BELOVED BEHAVIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NYKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARE
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:843-647-8281
Mailing Address - Street 1:441 COOPERS EDGE LN
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016-7214
Mailing Address - Country:US
Mailing Address - Phone:803-563-7074
Mailing Address - Fax:
Practice Address - Street 1:441 COOPERS EDGE LN
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-7214
Practice Address - Country:US
Practice Address - Phone:803-563-7074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-10
Last Update Date:2024-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty