Costner, Alicia Renee

Costner, Alicia Renee is an individual health care provider with primary practice located at 1698 Hwy 160 W. Ste. 240, Fort Mill SC 29708-2970. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst. Behavioral Health & Social Service Providers / Assistant Behavior Analyst is her primary health care specialty. Costner, Alicia Renee can be contacted via phone (704) 654-8599.

Contact Information

Primary practice address
1698 Hwy 160 W. Ste. 240 Fort Mill SC 29708-2970
Phone: (704) 654-8599
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 0-19-9516 North Carolina
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X 0-19-9516

Profile Details

NPI number 1619513496
LBN Legal business name Costner, Alicia Renee
Credentials BCABA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2019
Last updated Feb 10th, 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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