Individual
SAMUEL BLAKE SEYMOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6503 RAIN CREEK WAY, CHARLOTTE, NC 28262-2105
(980) 327-4444
Mailing address
6503 RAIN CREEK WAY, CHARLOTTE, NC 28262-2105
(980) 327-4444
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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