Cynthia Elizabeth Royston, BCBA, M. ED.

Key facts

NPI

1780268136

Entity type

Individual (NPI type 1)

Primary specialty

Behavior Analyst 103K00000X

License

1-17-28774

Practice address

11079 Deep Cove Dr
Tega Cay, SC 29708-9382

Phone

(704) 458-2436

NPI assigned

May 11, 2021

Sex

Female

Sole proprietor

Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Elizabeth Royston LLC Behavior Analyst · Tega Cay, SC · NPI 1821785098
  NPD Authorized official BEHAVIOR ANALYST

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Education

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2021.

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1780268136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11079 DEEP COVE DR",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297089382",
            "telephone_number": "704-458-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11079 DEEP COVE DR",
            "city": "TEGA CAY",
            "state": "SC",
            "postal_code": "297089382",
            "telephone_number": "704-458-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYSTON",
        "first_name": "CYNTHIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "BCBA, M. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "1-17-28774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFIED BEHAVIOR ANALYST (BCBA)",
            "identifier": "1-17-28774",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL EDUCATION (MULTI-CATEGORICAL); PROFESSIONAL CERTIFICATE",
            "identifier": "290101",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Scamacca, OTR, OTD
• Theresa Jane Schaedig, M.A.,CCC-SLP
• Crystal Cox Shimer
• Kerry Simpson, DPT

All providers in Tega Cay, SC · Behavior Analyst in South Carolina