Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1386469096 Individual Practitioner Female Practitioner

Cordelia Elizabeth Dallam , LBA

Behavior Analyst • Charleston, SC

Professional Overview & Biography Verified Profile Summary

Cordelia Dallam, LBA is a registered healthcare professional specializing in Behavior Analyst in Charleston, SC. Practice services are available at 2049 SAVANNAH HWY STE D under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2049 Savannah Hwy Ste D

Charleston, SC 294072228

Telephone 3159921929

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Charleston, SC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
74 Specialists

Practicing in Charleston, SC (892 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-08-03
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License NY 004676-01

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Behavior Analyst

NUCC Taxonomy Code: 103K00000X

State License None 1-25-86171

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Samantha Kinney

Behavior Technician

NPI 1053102657
Rukhshona Tuydieva

Behavior Analyst

NPI 1083577167
Natalie Johnson

Behavior Technician

NPI 1134945074
Katarina Myers

Behavior Analyst

NPI 1588391692
Tayler Marie Mcwhorter

Behavior Technician

NPI 1700597135
Dana Armero , BCBA

Behavior Analyst

NPI 1770118630

Board Certified Behavior Analyst

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location August 03, 2026

Registered at 2049 SAVANNAH HWY STE D, CHARLESTON, SC 294072228 (Tel: 3159921929)

📍
Updated Business Mailing Address August 03, 2026

Registered at 122 HARVEY AVE, GOOSE CREEK, SC 294454208 (Tel: 9133135407)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2026

Behavior Analyst (License #1-25-86171 in None)

📍
Updated Practice Location December 23, 2025

Registered at 7767 OSWEGO RD, LIVERPOOL, NY 130902322 (Tel: 3159921929)

📍
Updated Business Mailing Address December 23, 2025

Registered at 37 PARK ST, PULASKI, NY 131424420 (Tel: 9133135407)

👤
Provider Name / Credentials Updated December 23, 2025

Recorded as CORDELIA DALLAM, LBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2025

Behavior Analyst (License #004676-01 in NY)

NPI Profile Active November 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 18, 2024

Registered at 7353 WHITEPINE RD, RICHMOND, VA 232372260 (Tel: 8554449838)

📍
Updated Business Mailing Address November 18, 2024

Registered at 7353 WHITEPINE RD, RICHMOND, VA 232372260

👤
Provider Name / Credentials Updated November 18, 2024

Recorded as CORDELIA DALLAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2024

Behavior Technician

🟢
Initial NPI Registration & Enumeration November 18, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1386469096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2024
Last Update: August 03, 2026
Sole Proprietor: Yes

Mailing Address

122 Harvey Ave

Goose Creek, SC 294454208

Phone: 9133135407

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.