Individual provider · Type 1 NPI

Khadijah Cannon

Behavior Technician · Greenville, SC

NPI number 1760105381 Active

Practice location

18 Memorial Medical Dr
Greenville, SC 29605-4452

Call (706) 842-5330 Map

Fax (706) 842-5340

Mailing address

525 8th St, P.o. Box 2567
Augusta, GA 30901-9998

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician Primary 106S00000XRBT-22-232197 (SC)

Behavior Technician: The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That…

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About NPI 1760105381

Khadijah Cannon's National Provider Identifier is 1760105381, issued on Sep 20, 2022. The primary taxonomy on file is Behavior Technician (106S00000X), and the practice location is in Greenville, SC. The record was last updated on Sep 20, 2022.