Provider Demographics
NPI:1750543153
Name:PRESLER, TOBEN F (BCABA)
Entity type:Individual
Prefix:MRS
First Name:TOBEN
Middle Name:F
Last Name:PRESLER
Suffix:
Gender:F
Credentials:BCABA
Other - Prefix:
Other - First Name:TOBIE
Other - Middle Name:
Other - Last Name:PRESLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BCABA
Mailing Address - Street 1:319 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-4025
Mailing Address - Country:US
Mailing Address - Phone:803-367-2261
Mailing Address - Fax:803-328-6222
Practice Address - Street 1:410 OAKLND AVE.
Practice Address - Street 2:STE 101
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730
Practice Address - Country:US
Practice Address - Phone:803-792-0771
Practice Address - Fax:803-656-0764
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC0-04-1396174400000X
106E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX7421Medicaid