Healthcare Provider Details

I. General information

NPI: 1366387557
Provider Name (Legal Business Name): CONSULTING WITH SCIENCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 NORWICH LN
MYRTLE BEACH SC
29588-4104
US

IV. Provider business mailing address

618 NORWICH LN
MYRTLE BEACH SC
29588-4104
US

V. Phone/Fax

Practice location:
  • Phone: 631-839-8226
  • Fax:
Mailing address:
  • Phone: 631-839-8226
  • 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: NICOLE WALKER
Title or Position: OWNER
Credential: WALKER
Phone: 631-839-8226