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 |