MEDICARE: CELEBRATEYOU ABA SC LLC

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

General Provider Information

NPI Number	:	1629816871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CELEBRATEYOU ABA SC LLC

Provider Business Mailing Address
First Line	:	12 TRUDY LN
Second Line	:
City	:	LAKEWOOD
State	:	NJ
Zip	:	08701-4676
Country	:	US
Telephone Number	:	864-435-8500
Fax Number	:

Provider Business Practice Location Address
First Line	:	5935 RIVERS AVE STE 101B
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-6071
Country	:	US
Telephone Number	:	864-435-8500
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ESTHER ABRAMS
Credential	:
Telephone Number	:	864-435-8500

Provider Enumeration Date	:	07/19/2024
Last Update Date	:	03/31/2025

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