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

MS. Kanisha Nicole Eberhardt, QASP-S

Individual provider Other Technician · NPI 1548831902

MS. Kanisha Nicole Eberhardt, QASP-S is an Other Technician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2021.

Licensed in
GA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

3633 Wheeler Rd Ste 320
Augusta, GA 30909-6552
Phone: (706) 842-3279
Show map & directions

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

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X · Licence 11343
Other Technician Taxonomy 247200000X · Licence RBT-20-119073 (GA)

Record details

NPI number1548831902
Entity typeIndividual (Type 1)
GenderFemale
Credentials QASP-S
Sole proprietorNo
NPI enumeratedJuly 7, 2021
Last updated in NPPESNovember 7, 2023
Certification dateNovember 7, 2023

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