MEDICARE: KIARA DANIELA KODIKARA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst	1-25-80343	NC

General Provider Information

NPI Number	:	1437948205
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIARA DANIELA KODIKARA

Provider Business Mailing Address
First Line	:	5309 MONROE RD # 109
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7829
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5309 MONROE RD # 109
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7829
Country	:	US
Telephone Number	:	704-765-8846
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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