TATIANA AGUEDA
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1336648146- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1048 WILDWOOD CENTRE DR, COLUMBIA, SC, 292298420
- Phone
- (803) 999-3752
Specialties & Taxonomies
Behavior Technician
Primary License: SC #18-48221