Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Deon Woodberry Sr.

Individual provider Behavior Technician · NPI 1164289476

Justin Deon Woodberry Sr. is a Behavior Technician in Mullins, South Carolina. Licensed in South Carolina. Registered with an NPI since 2024.

Licensed in
SC
In the registry since
2024

Practice location Address checks out

3751 Marble Rd
Mullins, SC 29574-6542
Phone: (843) 430-4233
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (SC)

Record details

NPI number1164289476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 4, 2024
Last updated in NPPESMarch 4, 2024
Certification dateMarch 4, 2024

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