Healthcare Provider Details

I. General information

NPI: 1962354183
Provider Name (Legal Business Name): AJANA ARMSTRONG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N TRYON ST
CHARLOTTE NC
28246-0100
US

IV. Provider business mailing address

101 N TRYON ST 1ST FLOOR
CHARLOTTE NC
28246
US

V. Phone/Fax

Practice location:
  • Phone: 828-461-0568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number0-26-17115
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: