Samantha Achor
Individual provider Active NPI Behavior Technician · Cary, NC
NPI 1053184580 · NPPES record last updated Nov 6, 2023
Key facts
- NPI
- 1053184580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 111 Mackenan Dr
Cary, NC 27511-7903 - Phone
- (919) 371-2848
- NPI assigned
- Nov 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician |
106S00000X | Yes |
Addresses
Primary practice location
111 Mackenan Dr
Cary, NC 27511-7903
Mailing address
111 Mackenan Dr
Cary, NC 27511-7903
Phone (919) 371-2848
Other providers in Cary, NC
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- Bernice Acheampong
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- Acn Therapy PLLC
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All providers in Cary, NC · Behavior Technician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.