McKenzie Catherine Anderson
Individual provider Active NPI Behavior Technician · Summerville, SC
NPI 1316638752 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1316638752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-23-269617 (SC)
- Practice address
- 328 Glen St
Summerville, SC 29483-4653 - Phone
- (843) 460-2605
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-269617 | SC | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-269617 | SC | Yes |
Addresses
Primary practice location
328 Glen St
Summerville, SC 29483-4653
Mailing address
328 Glen St
Summerville, SC 29483-4653
Phone (843) 460-2605
Other providers in Summerville, SC
- Ammons Implant & Dental Services, LLC
- Amy a Brown, LLC
- Annette Bilton Anderson
- Donna Anderson
- Kimberly Lowder Anderson
- Sarah K Anderson
- Tori C Anderson
- Veronica Anderson
- William D Anderson
- James Charles Andrews
All providers in Summerville, 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 17, 2023. 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.