OrganizationActive
Building Independence Together
NPI 1568906394 · Behavior Analyst · Walterboro, SC
Provider details
- NPI number
- 1568906394
- Entity type
- Organization
- Primary specialty
- Behavior AnalystBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Melissa Wilson, President(843) 934-1968
- License
- 11521189 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Managed Care Organizations
Practice location
3389 Prices Bridge Ln
Walterboro, SC 29488-6983
Phone: (843) 934-1968
Fax: (888) 298-0519
Approximate (ZIP-level) locationGet directions
Mailing address
3389 Prices Bridge Ln
Walterboro, SC 29488-6983
Registry dates
- Enumerated
- 2016-12-13
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.