Ayanna Akeya Kimbrel Etheredge

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

166 Pinewood Dr Apt 3C
Batesburg, SC 29006-2354

Phone

(803) 604-7783

NPI assigned

Feb 6, 2026

Last updated

Feb 6, 2026By 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

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

{
    "created_epoch": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1861343683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 PINEWOOD DR APT 3C",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290062354",
            "telephone_number": "803-604-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 PINEWOOD DR APT 3C",
            "city": "BATESBURG",
            "state": "SC",
            "postal_code": "290062354",
            "telephone_number": "803-604-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETHEREDGE",
        "first_name": "AYANNA",
        "middle_name": "AKEYA KIMBREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Wade Chittam
• Jacqueline Coleman, MASSAGE THERAPY
• CVS
• Chad Dancy
• Eau Claire Cooperative Health Center, Inc. (Cooperative Health Batesburg-Leesville)
• Jennifer Fulmer
• Ginavra Gibson
• Grandy Chiropractic Clinic, LLC
• Bob R Grandy, DC
• Ann Hall

• Behavior Technician in Batesburg, SC
• Providers in Batesburg, 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 Feb 6, 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.

Verify at the official NPI Registry.