Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Cannon

Individual provider Behavior Technician · NPI 1477217172

Elizabeth Cannon is a Behavior Technician in Irmo, South Carolina. Licensed in South Carolina. Registered with an NPI since 2021.

Licensed in
SC
In the registry since
2021

Practice location Address checks out

1084 Lake Murray Blvd
Irmo, SC 29063-2821
Phone: (706) 842-5330
Fax: (706) 842-5340
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence RBT-21-190666 (SC)

Record details

NPI number1477217172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2021
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address3736 Executive Center Dr, Augusta, GA 30907-2360

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