PALMETTO BEHAVIORAL SERVICES LLC (NPI# 1083231062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083231062 |
| Entity Type | Organization |
| Organization Name | PALMETTO BEHAVIORAL SERVICES LLC |
| Practice Address |
308 S Marble St West Columbia SC 29169-7212 |
| Practice Telephone | 8033093399 |
| Practice Fax Number | 8038884064 |
| Mailing Telephone | 8033093399 |
| Mailing Fax Number | 8038884064 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Authorized Official Name | MELODY LUCAS (OWNER) |
| Authorized Official Telephone | 8033093399 |
| Authorized Official Credential | BCBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
308 S MARBLE ST |
| City | WEST COLUMBIA |
| State | SC |
| Zip Code | 29169-7212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457960726 | Jerry Scott Oreilly | Physical Therapy Assistant | 100 Dreher Rd, Suite 100, West Columbia, SC 29169 | 2020-07-23 |
| 1134759921 | A&m Medical, LLC | Durable Medical Equipment & Medical Supplies | 1053 Sunset Boulevard, West Columbia, SC 29169 | 2020-01-21 |
| 1750946067 | First Physical Therapy, LLC | Clinic/Center | 100 Dreher Rd., Suite 100, West Columbia, SC 29169 | 2019-05-02 |
| 1295217545 | Tynaka Kwans Wilson | Nurse Practitioner | Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169 | 2018-09-04 |
| 1588183826 | Kimberly Jane Jennings | Registered Nurse | 1052 Center Street, Sc House Calls Inc, West Columbia, SC 29169 | 2017-09-19 |
| 1164943213 | Jacob Luke Wayland | Emergency Medicine | Lexington Medical Center-emergency Medicine Dept, 2720 Sunset Blvd, West Columbia, SC 29169 | 2017-06-29 |
| 1740721232 | Heather Detwiler | Physical Therapy Assistant | 2705 Leaphart Rd., Carolina Gardens, West Columbia, SC 29169 | 2017-03-16 |
| 1588110761 | Virginia I Hall | Nurse Practitioner | 2720 Susnet Blvd, West Columbia, SC 29169 | 2016-08-29 |
| 1215395744 | Stacey Khalifa | Social Worker | 160 Medical Cir Fl 1, West Columbia, SC 29169 | 2016-01-28 |
| 1407252331 | Sandy Frye Boone | Counselor | 2318 Sunset Blvd # 2a, West Columbia, SC 29169 | 2014-11-04 |
| Find all providers in zip 29169 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851888226 | Helen Shelton | Behavioral Analyst | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2018-04-20 |
| 1043735186 | Melissa Wise | Behavioral Analyst | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2017-08-10 |
| 1285022293 | Crystal Eddy | Behavioral Analyst | 3115 Sunset Blvd, West Columbia, SC 29169-3425 | 2014-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596976 | Save Our Youth Movement | Behavioral Analyst | 3752 Highway 34 W, Latta, SC 29565-4485 | 2020-10-20 |
| 1912510074 | Boost Behavioral Services LLC | Behavioral Analyst | 14b Marshellen Dr, Beaufort, SC 29902-6900 | 2020-08-28 |
| 1194336370 | Lindsay Jeanne Small | Behavioral Analyst | 751 East Georgia St, Woodruff, SC 29388 | 2020-08-12 |
| 1508481839 | Laura Crisan | Behavioral Analyst | 109 Preserve Ln, Columbia, SC 29209-1231 | 2020-06-12 |
| 1316562796 | Jennifer L Elkins | Behavioral Analyst | 4 Carriage Ln Ste 306, Charleston, SC 29407-6050 | 2020-06-11 |
| 1528681251 | Spectrum Aba | Behavioral Analyst | 19 Spring Falls Ct, Greenville, SC 29607-7101 | 2020-05-28 |
| 1225651292 | Patricia L Farrar | Behavioral Analyst | 3572 Harmony Rd, Catawba, SC 29704-9478 | 2020-05-25 |
| 1932721701 | Laura Wallace | Behavioral Analyst | 925 Roxburgh Ave, Rock Hill, SC 29732-5505 | 2020-05-14 |
| 1720600661 | Risley Linder Jr. | Behavioral Analyst | 2003 Greene St Apt 105, Columbia, SC 29205-1638 | 2020-05-14 |
| 1639705106 | Empowered Family Sc, LLC | Behavioral Analyst | 952 Houston Northcutt Blvd Ste 202, Mount Pleasant, SC 29464-5659 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST COLUMBIA |
| Zip Code | 29169 |
Please comment or provide details below to improve the information on PALMETTO BEHAVIORAL SERVICES LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.