Healthcare Provider Details

I. General information

NPI: 1326943499
Provider Name (Legal Business Name): TERESA LYNN PRICE RBT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3319 ARGENT BLVD
RIDGELAND SC
29936-3266
US

IV. Provider business mailing address

53 AUBURN HILLS DR
RIDGELAND SC
29936-5739
US

V. Phone/Fax

Practice location:
  • Phone: 800-244-4691
  • Fax:
Mailing address:
  • Phone: 843-473-9099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberBACB2705769
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: