Most Relevant Information
Provider Data
  | NPI Number: | 1003310962 | 
| Provider Name: | KAITLYN MOURO GREER BCBA | 
| Entity Type: | Individual | 
| Taxonomy Code: | 103K00000X | 
| Specialty: | Behavior Analyst | 
| License Number: | 1-20-43864 | 
Most Important Dates
  | Enumeration Date: | 03/23/2018 | 
| Last Updated: | 10/12/2022 | 
Provider Practice Location
  3401 COLONIAL DR
      
      COLUMBIA
      SC
      292036934
  Practice Location Phone/Fax
      | Phone: | 8178745812 | 
| Fax: | 
Provider Mailing Location
  3401 COLONIAL DR
      
      COLUMBIA
      SC
      292036934
  Provider Mailing Phone/Fax
      | Phone: | 8032161089 | 
| Fax: | 8033391907 |