IndividualActive
Khadijah Cannon
NPI 1760105381 · Behavior Technician · Greenville, SC
Khadijah Cannon is a Behavior Technician provider in Greenville, SC (NPI 1760105381).
Provider details
- NPI number
- 1760105381
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RBT-22-232197 (SC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
18 Memorial Medical Dr
Greenville, SC 29605-4452
Phone: (706) 842-5330
Fax: (706) 842-5340
Street-level locationGet directions
Mailing address
525 8th St
Augusta, GA 30901-9998
Registry dates
- Enumerated
- 2022-09-20
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Khadijah Cannon's NPI number?
- Khadijah Cannon's National Provider Identifier (NPI) is 1760105381, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khadijah Cannon's specialty?
- Khadijah Cannon is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Khadijah Cannon located?
- Khadijah Cannon's practice location on file with NPPES is 18 Memorial Medical Dr, Greenville, SC 29605-4452.
- What is Khadijah Cannon's phone number?
- The practice phone number listed in the NPPES registry for Khadijah Cannon is (706) 842-5330.
- Is Khadijah Cannon's NPI active?
- Yes — Khadijah Cannon's NPI (1760105381) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.