Individual
SOUMYA MAPPILAKUNNEL PIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 TOWNE CENTRE BLVD STE 403, PINEVILLE, NC 28134-8475
(980) 785-1113
Mailing address
600 TOWNE CENTRE BLVD STE 403, PINEVILLE, NC 28134-8475
(980) 785-1113
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-52378
—
106S00000X
Behavior Technician
1-19-78920
NC
Other
Enumeration date
03/26/2019
Last updated
05/17/2024
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