MEDICARE: ABRIANNA DEHAMER

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	106S00000X	Behavior Technician	RBT-25-473063	NC

General Provider Information

NPI Number	:	1861366304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABRIANNA DEHAMER

Provider Business Mailing Address
First Line	:	945 N CENTRAL AVE
Second Line	:
City	:	WOODMERE
State	:	NY
Zip	:	11598-1604
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7903 PROVIDENCE RD STE 150
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-9745
Country	:	US
Telephone Number	:	704-440-3580
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	09/29/2025

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Directions to “ ABRIANNA DEHAMER ” Practice Location

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