MEDICARE: LAURIE ANN STAMP RBT

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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1427680198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURIE ANN STAMP RBT

Provider Business Mailing Address
First Line	:	501 PELHAM DR APT B105
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1358
Country	:	US
Telephone Number	:	760-984-2213
Fax Number	:	760-984-2213

Provider Business Practice Location Address
First Line	:	501 PELHAM DR APT B105
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29209-1358
Country	:	US
Telephone Number	:	760-984-2213
Fax Number	:	760-984-2213

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

Provider Enumeration Date	:	02/10/2020
Last Update Date	:	05/27/2026

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Directions to “ LAURIE ANN STAMP RBT” Practice Location

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