Samantha Dikun
Individual provider Active NPI Behavior Analyst · Pineville, NC
NPI 1790360899 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1790360899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 1-20-46165 (NC)
- Practice address
- 600 Towne Centre Blvd Ste 403
Pineville, NC 28134-8475 - Phone
- (980) 785-1113
- NPI assigned
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Group, LLC | Behavior Analyst | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-46165 | NC | Yes |
Addresses
Primary practice location
600 Towne Centre Blvd Ste 403
Pineville, NC 28134-8475
Mailing address
814 Tyvola Rd Ste 126
Charlotte, NC 28217-3539
Phone (980) 785-1113
Other providers in Pineville, NC
- Katrina Marie Deminski
- Denner Chiropractic and Performance PLLC
- Matheau James Denner
- Desiree McMillan Professional Services, LLC
- Tara-Marie Devlin
- Tonya L Dixon-Thompson
- Douglas F. Geiger
- Nyoka S. Dunbar
- Belinda Duong
- David Norris Dupuy
All providers in Pineville, NC · Behavior Analyst 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 Mar 10, 2021. 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.