Ms. COURTNEY TANISHA COUSIN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1508676743- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 501 AMY DR, GOOSE CREEK, SC, 294453620
- Phone
- (854) 222-5502
Specialties & Taxonomies
Behavior Technician
Primary License: SC