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

Khadijah Cannon

Individual provider Behavior Technician · NPI 1760105381

Khadijah Cannon is a Behavior Technician in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2022.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

18 Memorial Medical Dr
Greenville, SC 29605-4452
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-22-232197 (SC)

Record details

NPI number1760105381
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateSeptember 20, 2022

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