Individual
SAMANTHA RAE SURAMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2001 HOYT ST, LAKEWOOD, CO 80215-1639
(303) 759-1192
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1638
NC
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
09/25/2025
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