Individual provider · Type 1 NPI

Samantha Rae Surampalli, BCBA

Behavior Analyst · Lakewood, CO

NPI number 1821761842 Active

Practice location

2001 Hoyt St
Lakewood, CO 80215-1639

Mailing address

PO Box 749
Belmont, NC 28012-0749

Other practice locations

  • 131 W Innes St, Salisbury, NC 28144-4338 · (980) 305-8780

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000X1638 (NC)
Behavior Analyst Primary 103K00000XNone listed

Behavior Analyst: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis…

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About NPI 1821761842

Samantha Rae Surampalli, BCBA's National Provider Identifier is 1821761842, issued on Jul 26, 2021. The primary taxonomy on file is Behavior Analyst (103K00000X), and the practice location is in Lakewood, CO. The record was last updated on Sep 25, 2025.