Casey Cavanaugh

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

1297 Professional Dr Ste 101B
Myrtle Beach, SC 29577-5713

Phone

(910) 390-6635

Fax

(888) 510-1019

NPI assigned

May 11, 2018

Last updated

May 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1275023624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020I PROSPERITY CHURCH RD # 247",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282698112",
            "telephone_number": "910-390-6635",
            "fax_number": "888-510-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 PROFESSIONAL DR STE 101B",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775713",
            "telephone_number": "910-390-6635",
            "fax_number": "888-510-1019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Bull St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314013378",
            "country_code": "US",
            "telephone_number": "910-390-6635",
            "fax_number": "888-510-1019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-11",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcy Ann Cates, LCSW
• Ellen Lee Caughman, DNP, APRN, MSN, FNP
• Causey Chiropractic Center
• Brandon Thomas Causey, CCC-SLP
• Zachary Grant Causey, DC
• Wanda Cawthon, ANP
• Kimberly A Cecchini-Purgavie, DO
• Margaret Ann Ceips, NP-C
• Center of Hope of Myrtle Beach, LLC
• Centerwell Senior Primary Care (SC) JV PC (CenterWell Senior Primary Care-International Drive)

• Behavior Analyst in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.