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

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 and National Provider Directory roles.

• Mighty Kidz Services LLC.

  • 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
• 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.