Healthcare Provider Details

I. General information

NPI: 1477416246
Provider Name (Legal Business Name): JOY EUBANKS BCABA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 E GEORGIA RD
WOODRUFF SC
29388-8787
US

IV. Provider business mailing address

200 ELFORD CT
SPARTANBURG SC
29306-3250
US

V. Phone/Fax

Practice location:
  • Phone: 864-476-7400
  • Fax: 864-476-0033
Mailing address:
  • Phone: 864-476-7400
  • Fax: 864-476-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number0-025-16602
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: