Active NPI
Melissa Marie Etheredge
- Behavior Technician
- Cayce, SC
National Provider Identifier
1790601128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-292655
- Practice address
- 402 Rocky LN
Cayce, SC 29033-2716 - Phone
- (803) 807-6143
- NPI assigned
- Jun 29, 2026
- Last updated
- Jun 29, 2026
- 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 | RBT-23-292655 | SC | Primary |
Addresses
Primary practice location
402 Rocky LN
Cayce, SC 29033-2716
Mailing address
402 Rocky LN
Cayce, SC 29033-2716
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 |
|---|---|---|---|
| RBT-23-292655 | SC | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1790601128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 ROCKY LN",
"city": "CAYCE",
"state": "SC",
"postal_code": "290332716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 ROCKY LN",
"city": "CAYCE",
"state": "SC",
"postal_code": "290332716",
"telephone_number": "803-807-6143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETHEREDGE",
"first_name": "MELISSA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "SC",
"license": "RBT-23-292655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayce, SC
- Ashlyn Yvonne Durel
- Eau Claire Cooperative Health Center, Inc. (Brookland Cayce Medical Practice)
- Anita Ellison-Porter
- Sreekanth R Emani, DDS
- Charles C Emerson, MS, ATC
- Eva Maron Counseling LLC
- Eye Associates of Cayce - West Columbia PA
- Katrina Renee Finney, CNA
- First Priority Inc
- Lauren Rowell Fisher, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.