Allen, Tabatha Deas

Allen, Tabatha Deas is an individual health care provider with primary practice located at 2810 Ashley Phosphate Rd Ste B11 , North Charleston SC 29418-6406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Allen, Tabatha Deas can be contacted via phone (843) 813-1538.

Contact Information

Primary practice address
2810 Ashley Phosphate Rd Ste B11 North Charleston SC 29418-6406
Phone: (843) 813-1538
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-14-6299 South Carolina
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-48578 South Carolina

Profile Details

NPI number 1700275229
LBN Legal business name Allen, Tabatha Deas
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2015
Last updated Apr 5th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700275229 NPPES
South Carolina MEDICAID BB1018

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