Individual provider Active NPI

Emily Rose Kross

  • Behavior Technician
  • North Myrtle Beach, SC
National Provider Identifier
1528965712
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
2778772 Issued in SC
Practice address
730 Main St # 230
North Myrtle Beach, SC 29582-3030
Phone
(813) 763-5469
Fax
(813) 441-8362
NPI assigned
Oct 21, 2026
Last updated
Oct 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 2778772 SC Primary

Addresses

Primary practice location

730 Main St # 230
North Myrtle Beach, SC 29582-3030

Mailing address

2511 E Highway 501
Conway, SC 29526-9509
Phone (732) 232-2833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1528965712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 E HIGHWAY 501",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269509",
            "telephone_number": "732-232-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MAIN ST # 230",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295823030",
            "telephone_number": "813-763-5469",
            "fax_number": "813-441-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROSS",
        "first_name": "EMILY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-21",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "2778772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.