Most Relevant Information
Provider Data
| NPI Number: | 1003644451 |
| Provider Name: | ZAMANI LYDE |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/25/2024 |
| Last Updated: | 07/25/2024 |
Provider Practice Location
1505 BLANDING ST
COLUMBIA
SC
292012906
Practice Location Phone/Fax
| Phone: | 8039290011 |
| Fax: |
Provider Mailing Location
1505 BLANDING ST
COLUMBIA
SC
292012906
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |