Provider Demographics
NPI:1972200855
Name:NASUTI, HEATHER (BCABA)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:
Last Name:NASUTI
Suffix:
Gender:
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 EASTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29307-1755
Mailing Address - Country:US
Mailing Address - Phone:864-735-8735
Mailing Address - Fax:864-854-8020
Practice Address - Street 1:6650 RIVERS AVE STE 100
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-4809
Practice Address - Country:US
Practice Address - Phone:864-735-8735
Practice Address - Fax:864-854-8020
Is Sole Proprietor?:No
Enumeration Date:2023-02-13
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst