Active NPI
Cherse Canarina
- Behavior Technician
- Anderson, SC
National Provider Identifier
1346739620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 17-36968
- Practice address
- 4323 Old Mill Rd Ste B
Anderson, SC 29621-1117 - Phone
- (864) 671-1466
- NPI assigned
- May 2, 2018
- 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 | 17-36968 | SC | Primary |
Addresses
Primary practice location
4323 Old Mill Rd Ste B
Anderson, SC 29621-1117
Mailing address
2580 Lin DO CT
Sumter, SC 29150-1832
Phone (803) 905-4427
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 |
|---|---|---|---|
| 17-36968 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525305600000",
"number": "1346739620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2580 LIN DO CT",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501832",
"telephone_number": "803-905-4427",
"fax_number": "803-905-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 OLD MILL RD STE B",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296211117",
"telephone_number": "864-671-1466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANARINA",
"first_name": "CHERSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2018-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "17-36968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.