IndividualActive
Elizabeth Cannon
NPI 1477217172 · Behavior Technician · Irmo, SC
Elizabeth Cannon is a Behavior Technician provider in Irmo, SC (NPI 1477217172).
Provider details
- NPI number
- 1477217172
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-21-190666 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1084 Lake Murray Blvd
Irmo, SC 29063-2821
Phone: (706) 842-5330
Fax: (706) 842-5340
Street-level locationGet directions
Mailing address
3736 Executive Center Dr
Augusta, GA 30907-2360
Registry dates
- Enumerated
- 2021-10-28
- Last updated
- 2021-10-28
- Certified
- 2021-10-28
Frequently asked questions
- What is Elizabeth Cannon's NPI number?
- Elizabeth Cannon's National Provider Identifier (NPI) is 1477217172, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elizabeth Cannon's specialty?
- Elizabeth Cannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Elizabeth Cannon located?
- Elizabeth Cannon's practice location on file with NPPES is 1084 Lake Murray Blvd, Irmo, SC 29063-2821.
- What is Elizabeth Cannon's phone number?
- The practice phone number listed in the NPPES registry for Elizabeth Cannon is (706) 842-5330.
- Is Elizabeth Cannon's NPI active?
- Yes — Elizabeth Cannon's NPI (1477217172) is active in the NPPES registry as of the last update on 2021-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.