MEDICARE: FIREFLY THERAPY CLINIC LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	106E00000X	Assistant Behavior Analyst
2	106S00000X	Behavior Technician
3	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1134873805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIREFLY THERAPY CLINIC LLC

Provider Business Mailing Address
First Line	:	35 BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-775-6685
Fax Number	:	864-551-4440

Provider Business Practice Location Address
First Line	:	35 BRENDAN WAY
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29615-3514
Country	:	US
Telephone Number	:	864-775-6685
Fax Number	:	864-551-4440

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICK BROWN
Credential	:
Telephone Number	:	864-775-6685

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	12/11/2025

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