Wallace, Laura

Wallace, Laura is an individual health care provider with primary practice located at 925 Roxburgh Ave , Rock Hill SC 29732-5505. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Wallace, Laura can be contacted via phone (803) 487-8508.

Contact Information

Primary practice address
925 Roxburgh Ave Rock Hill SC 29732-5505
Phone: (803) 487-8508
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X BACB476683 South Carolina

Profile Details

NPI number 1932721701
LBN Legal business name Wallace, Laura
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2020
Last updated Oct 5th, 2020 - about 4 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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