Healthcare Provider Details

I. General information

NPI: 1649968132
Provider Name (Legal Business Name): ASHLEY REBEKAH BELL MDIV, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 02/28/2025
Certification Date: 02/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 EDGEFIELD ST
GREENWOOD SC
29646-3205
US

IV. Provider business mailing address

200 ELFORD CT
SPARTANBURG SC
29306-3250
US

V. Phone/Fax

Practice location:
  • Phone: 865-871-1063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-25-79209
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-22-241771
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: