Provider Demographics
NPI:1679392369
Name:HOPPER, SEAN (RBT)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:
Last Name:HOPPER
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8674 WINDSOR HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29420-8458
Mailing Address - Country:US
Mailing Address - Phone:843-588-5677
Mailing Address - Fax:855-632-2877
Practice Address - Street 1:8310 RIVERS AVE STE D
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9268
Practice Address - Country:US
Practice Address - Phone:843-588-5677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORBT-24-349924103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst