Healthcare Provider Details

I. General information

NPI: 1730912817
Provider Name (Legal Business Name): KAYA INAMDAR BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2024
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

297 E 22ND ST
KANNAPOLIS NC
28083-2607
US

IV. Provider business mailing address

1110 EMERY HILL DR APT 4502
CHARLOTTE NC
28262-2929
US

V. Phone/Fax

Practice location:
  • Phone: 704-970-0946
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: