Healthcare Provider Details

I. General information

NPI: 1689538324
Provider Name (Legal Business Name): CUSTOM BEHAVIORAL SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 PLANTERS CIR
BEAUFORT SC
29907-2037
US

IV. Provider business mailing address

40 PLANTERS CIR
BEAUFORT SC
29907-2037
US

V. Phone/Fax

Practice location:
  • Phone: 412-721-8779
  • Fax:
Mailing address:
  • Phone: 412-721-8779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: HANNAH SCHADEMAN
Title or Position: OWNER
Credential: MA, BCBA
Phone: 412-721-8779