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NPI Code Detail

MEDICARE: THE UNUMB CENTER FOR NEURODEVELOPMENT

MEDICARE: THE UNUMB CENTER FOR NEURODEVELOPMENT
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
1261QM0855XAdolescent and Children Mental Health Clinic/Center
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1184984742
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE UNUMB CENTER FOR NEURODEVELOPMENT
Provider Business Mailing Address
First Line : PO BOX 7514
Second Line :
City : COLUMBIA
State : SC
Zip : 29202-7514
Country : US
Telephone Number : 803-790-7997
Fax Number : 803-520-6531
Provider Business Practice Location Address
First Line : 1505 BLANDING ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2906
Country : US
Telephone Number : 803-929-0011
Fax Number : 803-569-1054
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : JESSICA HUDSON
Credential :
Telephone Number : 803-521-4077
Provider Enumeration Date : 05/16/2012
Last Update Date : 06/20/2025

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Directions to “THE UNUMB CENTER FOR NEURODEVELOPMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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