Healthcare Provider Details

I. General information

NPI: 1750543153
Provider Name (Legal Business Name): TOBEN F. PRESLER BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TOBIE PRESLER BCABA

II. Dates (important events)

Enumeration Date: 06/26/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 OAKLND AVE. STE 101
ROCK HILL SC
29730
US

IV. Provider business mailing address

319 PARK AVE
ROCK HILL SC
29730-4025
US

V. Phone/Fax

Practice location:
  • Phone: 803-792-0771
  • Fax: 803-656-0764
Mailing address:
  • Phone: 803-367-2261
  • Fax: 803-328-6222

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number0-04-1396
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: