Provider Demographics
NPI:1659836971
Name:RHAMY, KENDAL C (BCBA)
Entity Type:Individual
Prefix:
First Name:KENDAL
Middle Name:C
Last Name:RHAMY
Suffix:
Gender:F
Credentials:BCBA
Other - Prefix:
Other - First Name:KENDAL
Other - Middle Name:C
Other - Last Name:STUBELT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2810 COLISEUM CENTRE DRIVE
Mailing Address - Street 2:SUITE 520
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217
Mailing Address - Country:US
Mailing Address - Phone:980-785-1113
Mailing Address - Fax:
Practice Address - Street 1:9101 PINEVILLE-MATTHEWS ROAD
Practice Address - Street 2:SUITE S
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134
Practice Address - Country:US
Practice Address - Phone:980-785-1113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-31
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
NC103K00000X
1-19-39835103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst