Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ellen Underdal

Individual provider Behavior Technician · NPI 1912842782

Ellen Underdal is a Behavior Technician in Winston Salem, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

280 Charlois Blvd
Winston Salem, NC 27103-1588
Phone: (704) 799-6824
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1912842782
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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