Provider Demographics
NPI:1619532454
Name:NEWBERRY COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Entity Type:Organization
Organization Name:NEWBERRY COUNTY DISABILITIES AND SPECIAL NEEDS BOARD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:SHANTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-276-0078
Mailing Address - Street 1:PO BOX 856
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-0856
Mailing Address - Country:US
Mailing Address - Phone:803-276-0078
Mailing Address - Fax:803-276-0785
Practice Address - Street 1:115 NANCE ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-4709
Practice Address - Country:US
Practice Address - Phone:803-276-0078
Practice Address - Fax:803-276-0785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-07
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency