Active NPI
Rebecca Diane Richardson
- Behavior Technician
- Columbia, SC
National Provider Identifier
1235019811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-446135
- Practice address
- 2144 Sumter St Ste B
Columbia, SC 29201-2182 - Phone
- (803) 258-0533
- NPI assigned
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 25-446135 | SC | Primary |
Addresses
Primary practice location
2144 Sumter St Ste B
Columbia, SC 29201-2182
Mailing address
149 Outrigger LN
Columbia, SC 29212-8058
Phone (803) 504-1023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-446135 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1235019811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 OUTRIGGER LN",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292128058",
"telephone_number": "803-504-1023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2144 SUMTER ST STE B",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292012182",
"telephone_number": "803-258-0533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "REBECCA",
"middle_name": "DIANE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "SC",
"license": "25-446135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.