Anjolea Roseanna Degraaf

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-23-296472 Issued in SC

Practice address

1320 Main St Ste 300
Columbia, SC 29201-3266

Phone

(855) 832-6727

NPI assigned

Sep 11, 2023

Last updated

Sep 11, 2023By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1619754918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 MAIN STREET",
            "address_2": "STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "290213266",
            "telephone_number": "855-832-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 MAIN ST STE 300",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292013266",
            "telephone_number": "855-832-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAAF",
        "first_name": "ANJOLEA",
        "middle_name": "ROSEANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "RBT-23-296472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedicated South Carolina Holding, LLC (Dedicated Senior Medical Center Forest)
• Deewan Deewan, MD
• Allison Foster Defelice, PH.D.
• Keondre Deflanders, MS, BCBA
• Carter John Degennaro, MD
• Adena Deholczer
• Paul Douglas Deholl, MD
• Anna Grace Deierlein, LMSW
• Carolyn Dejoseph, OT
• Bernard Lambert Dekoning, M.D.

• Behavior Technician in Columbia, SC
• Providers in Columbia, SC by specialty
• Behavior Technician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.