Vitoria Carmen Santos Costa
NPI #1679044580 in Clover, South Carolina
Provider Information
- NPI Number
- 1679044580
- Entity Type
- Individual
- Name
- Vitoria Carmen Santos Costa
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Dec 17, 2018
- Last Updated
- Dec 17, 2018
Practice Location
- Address
- 22 WOOD HOLLOW RD
- City
- Clover
- State
- South Carolina
- ZIP Code
- 29710-8920
- Phone
- (980) 213-7960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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