Individual
DEEPIKA BHAMIDIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 CONFERENCE DR, GREENVILLE, NC 27858-5971
(252) 689-6645
Mailing address
1003 KATIE LN, CARY, NC 27519-1558
(919) 604-9587
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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