Organization Name: | APPLIED BEHAVIORAL SERVICES |
NPI Number: | 1386998821 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALONZO J COLE (OWNER PSYCHOLOGIST-) |
Mailing Address: | 53 Commons Ct Pawleys Island |
State: | SC US |
Postal Code: | 295856301 |
Phone Number: | 8432359745 |
Fax Number: | 7656287401 |
NPI Enumeration Date: | 11/06/2012 |
NPI Last Update Date: | 11/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TM1800X |
License Number: | 2220 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Mental Retardation & Developmental Disabilities |
Taxonomy Definition: |