Individual
MS. HIMAJA REDDY SAMIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
7022 SARDIS RD, CHARLOTTE, NC 28270-6058
(704) 366-8260
Mailing address
10213 KENDRA CT, CHARLOTTE, NC 28277-3172
(732) 788-7009
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4544
NC
103K00000X
Behavior Analyst
BACB1173879
NC
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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