Annemarie Telleri

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-21-52960 Issued in SC

Practice address

333 W Butler St
Lexington, SC 29072-2605

Phone

(803) 714-3446

NPI assigned

Jan 23, 2018

Last updated

Sep 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Mighty Kidz Services LLC.

  dba Mighty Kidz Services

  • Behavior Analyst
  • Columbia, SC
  • NPI 1770283707
  NPD

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1851899009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W BUTLER ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722605",
            "telephone_number": "803-714-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W BUTLER ST",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722605",
            "telephone_number": "803-714-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLERI",
        "first_name": "ANNEMARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": "17-43505",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "SC",
            "license": "1-21-52960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelley Wise Taylor, ATC
• Wendy Taylor
• Rayna Teague
• Team Jayne, LLC (Assisting Hands Home Care of the Midlands)
• Aubrey Ruth Tell, MD
• Robin F Temples, LMFTS
• Lourdes Damasco Tepper, MA
• Leisha K Terry, PHARMD
• Lindsey Terry, LMSW
• Nakea Michelle Terry

• Behavior Analyst in Lexington, SC
• Providers in Lexington, SC by specialty
• Behavior Analyst in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2021; 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.