Takayla Underdue
Behavior Technician in Charlotte, NC. Individual provider (NPI-1).
NPI number1013594985
StatusActive
Last updated in NPPESMar 26, 2021
Details
- NPI
- 1013594985
- Entity type
- Individual (NPI-1)
- Name
- Takayla Underdue
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2021
- Certification date
- Mar 26, 2021
- Last updated
- Mar 26, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | NC | Yes |
Practice location
3000 Latrobe Dr Ste BCharlotte, NC 28211-5227
Phone 704-780-4271 · Fax 888-261-6694
Mailing address
6116 Lewis St Apt 6013Charlotte, NC 28262-3645
Phone 919-691-6741
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 2,073 Behavior Technician providers in Charlotte · All 32,379 providers in Charlotte
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