Active NPI
Taylor Sanaa Nixon
- Behavior Technician
- Summerville, SC
National Provider Identifier
1326849050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 25-420419
- Practice address
- 328 Glen St
Summerville, SC 29483-4653 - Phone
- (843) 460-2605
- NPI assigned
- Mar 19, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 25-420419 | SC | Primary |
Addresses
Primary practice location
328 Glen St
Summerville, SC 29483-4653
Mailing address
310 Evesham Ave
Moncks Corner, SC 29461-8851
Phone (843) 259-3805
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 |
|---|---|---|---|
| 25-420419 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742342400000",
"number": "1326849050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 EVESHAM AVE",
"city": "MONCKS CORNER",
"state": "SC",
"postal_code": "294618851",
"telephone_number": "843-259-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "328 GLEN ST",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294834653",
"telephone_number": "843-460-2605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIXON",
"first_name": "TAYLOR",
"middle_name": "SANAA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-19",
"last_updated": "2025-03-19",
"certification_date": "2025-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "25-420419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.