Khadijah Asiya Abdul-Qawee
Individual provider Active NPI Behavior Technician · Columbia, SC
NPI 1033909171 · NPPES record last updated May 12, 2025
Key facts
- NPI
- 1033909171
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 3401 Colonial Dr
Columbia, SC 29203-6934 - Phone
- (803) 339-1907
- Fax
- (803) 394-5619
- NPI assigned
- May 12, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bardin Behavioral Health, LLC | Current |
Accepting new patients |
Locations
3401 Colonial Dr
Columbia, SC 29203
Phone (803) 339-1907
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
3401 Colonial Dr
Columbia, SC 29203-6934
Mailing address
3401 Colonial Dr
Columbia, SC 29203-6934
Phone (803) 339-1907
Other providers in Columbia, SC
- Aaa Quality Care, Inc.
- Hareg G Abate
- Abbey Road Hospice, LLC
- Stephanie Matkins Abdalla
- Adila Muhsina Abdul-Karim
- Siraj F. Abdullah
- Oluwafunmilayo Sarah Abe
- Dennis Owusu Abedi
- Abiding Comfort Homecare & Hospice LLC
- Abl Wellness LLC
All providers in Columbia, SC · Behavior Technician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.