Provider Demographics
NPI:1194223651
Name:THRIVE BEHAVIORAL CONSULTANTS LLC
Entity Type:Organization
Organization Name:THRIVE BEHAVIORAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:NASTOFF
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:843-227-0861
Mailing Address - Street 1:PO BOX 1628
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-1628
Mailing Address - Country:US
Mailing Address - Phone:843-227-0861
Mailing Address - Fax:843-815-2835
Practice Address - Street 1:101 REEDY VIEW DR APT 445
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1876
Practice Address - Country:US
Practice Address - Phone:843-227-0861
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-30
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystGroup - Single Specialty