Individual
SAMANTHA DIKUN
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
814 TYVOLA RD STE 126, CHARLOTTE, NC 28217-3539
(980) 785-1113
(980) 785-1114
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-46165
NC
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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