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NPI Code Detail

MEDICARE: ASHLEY WAYMYERS BCBA

MEDICARE: ASHLEY WAYMYERS BCBA
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
1103K00000XBehavior Analyst1-25-82197

General Provider Information

NPI Number : 1710515200
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY WAYMYERS BCBA
Provider Business Mailing Address
First Line : 112 WAINSCOT OAK LN
Second Line :
City : WEST COLUMBIA
State : SC
Zip : 29169-3373
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 426 BUSH RIVER RD
Second Line :
City : COLUMBIA
State : SC
Zip : 29210-7312
Country : US
Telephone Number : 803-335-0718
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 11/17/2025

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Directions to “ ASHLEY WAYMYERS BCBA” Practice Location

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