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Ms. Bonita Street, PTA
Day Training/Habilitation Specialist in Ridgeway, South Carolina
NPI 1730540717

Bonita Street is a Day Training/Habilitation Specialist based in Ridgeway, SC. Bonita Street practices in Ridgeway, SC and has the professional credentials of PTA. The NPI Number for Bonita Street is 1730540717 and holds a License No. 3474 (South Carolina).

The current practice location address for Bonita Street is 198 Sawney Creek Cir, Ridgeway, SC and can be reached out via phone at 803-237-5733.

Location: 198 Sawney Creek Cir, Ridgeway, SC, 29130-7104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730540717
Provider Name
Bonita Street
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
198 Sawney Creek Cir, Ridgeway, SC, 29130-7104
Phone Number
803-237-5733
Fax Number
Provider Enumeration Date
03/17/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
198 Sawney Creek Cir
City
Ridgeway
State
South Carolina
Zip
29130-7104
Phone Number
803-237-5733
Fax Number
person
Provider Business Mailing Address Details
Address
198 Sawney Creek Cir
City
Ridgeway
State
South Carolina
Zip
29130-7104
Phone Number
803-237-5733
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
3474 (South Carolina)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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