Healthcare Provider Details

I. General information

NPI: 1912741471
Provider Name (Legal Business Name): APRICOTT SC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MARKFIELD DR STE C
CHARLESTON SC
29407-7908
US

IV. Provider business mailing address

12 BAYVIEW AVE UNIT 29
LAWRENCE NY
11559-4002
US

V. Phone/Fax

Practice location:
  • Phone: 615-200-6102
  • Fax:
Mailing address:
  • Phone:
  • 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: J H
Title or Position: PRESIDENT
Credential:
Phone: 615-200-6102