KHADIJAH CANNON
NPI 1760105381
Behavior Technician in Greenville, SC

Active since September 20, 2022
18 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605(706) 842-5330(706) 842-5340 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khadijah Cannon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KHADIJAH CANNON (NPI 1760105381) is an individual behavior technician in Greenville, South Carolina, licensed in South Carolina (RBT-22-232197) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1760105381
Entity TypeIndividualFemale
Primary Taxonomy106S00000X
Provider Legal NameKHADIJAH CANNON
Location Address18 MEMORIAL MEDICAL DRGreenville, SC 29605-4452
Mailing Address525 8th St, P.o. Box 2567Augusta, GA 30901-9998 · (706) 842-5330 · Fax (706) 842-5340
Fax(706) 842-5340
Sole ProprietorNo
Enumeration DateSeptember 20, 2022
NPPES CertifiedSeptember 20, 2022
NPI 1760105381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in SC · RBT-22-232197
Definition
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 may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
18 MEMORIAL MEDICAL DR, Greenville, SC 29605

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Analyst
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605
Behavior Technician
18 MEMORIAL MEDICAL DR
GREENVILLE, SC 29605

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Khadijah Cannon's NPI number?

The NPI number for Khadijah Cannon is 1760105381. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Khadijah Cannon located?

Khadijah Cannon practices at 18 Memorial Medical Dr, Greenville, SC 29605. The listed phone number is (706) 842-5330.

What is Khadijah Cannon's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Khadijah Cannon was last updated on September 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.