I'Yana Anderson

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-22-240636

Practice address

440 Roper Mountain Rd Ste a
Greenville, SC 29615-4235

Phone

(864) 256-4067

NPI assigned

Oct 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• I'Yana Free Former name

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1457123747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 TOZER RD",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019155515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 ROPER MOUNTAIN RD STE A",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296154235",
            "telephone_number": "864-256-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "I'YANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": "RBT-22-240636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "I'YANA",
            "last_name": "FREE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Daniel Alexander Anderson, MD
• Darius Jerome Anderson
• David Gordon Anderson, MD
• Elizabeth Danielle Anderson, LMFT
• Haley Player Anderson, FNP-C
• James Keith Anderson, OD
• James L Anderson III, MD
• Joseph Thomas Anderson, M.D.
• Kaila Anderson
• Katherine Johnson Anderson, PA

• All providers in Greenville, SC
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.