MEDICARE: BAILEY SWEET-WILKINS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	12688694	SC

General Provider Information

NPI Number	:	1003748849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY SWEET-WILKINS

Provider Business Mailing Address
First Line	:	2117 BUXTON DR
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-6677
Country	:	US
Telephone Number	:	607-372-1199
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 N KINGS HWY STE A
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-3946
Country	:	US
Telephone Number	:	800-701-0498
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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Directions to “ BAILEY SWEET-WILKINS ” Practice Location

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