MEDICARE: ADRIK WEINSIER - MARCANO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician		SC

General Provider Information

NPI Number	:	1124972732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIK WEINSIER - MARCANO

Provider Business Mailing Address
First Line	:	843 ISSAQUEENA TRL APT 149
Second Line	:
City	:	CENTRAL
State	:	SC
Zip	:	29630-9377
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 S MAIN ST FL 1
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2923
Country	:	US
Telephone Number	:	855-832-6727
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/23/2026
Last Update Date	:	02/23/2026

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