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

Kenyetta Samuel

Individual provider Behavior Technician · NPI 1548190499

Kenyetta Samuel 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

150 Charlois Blvd
Winston Salem, NC 27103-1549
Phone: (505) 305-0541
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 number1548190499
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 21, 2026
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

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