Healthcare Provider Details
I. General information
NPI: 1265280754
Provider Name (Legal Business Name): BEHAVIOR MATTERS CONSULTING SC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/09/2024
Last Update Date: 03/10/2025
Certification Date: 03/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8310 RIVERS AVE STE D
NORTH CHARLESTON SC
29406-9268
US
IV. Provider business mailing address
8674 WINDSOR HILL BLVD
NORTH CHARLESTON SC
29420-8458
US
V. Phone/Fax
- Phone: 843-324-1236
- Fax:
- Phone: 843-557-5358
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
SARA
DUGGAN
Title or Position: OWNER
Credential:
Phone: 843-557-5358