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

Individual provider Behavior Analyst · NPI 1821761842

Samantha Rae Surampalli, BCBA is a Behavior Analyst in Lakewood, Colorado. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021
Specialties on file
2
What do these letters mean?
BCBA — Board Certified Behavior Analyst
Designs and supervises applied behaviour analysis programmes, often for autism.

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Practice location Address checks out

2001 Hoyt St
Lakewood, CO 80215-1639
Phone: (303) 759-1192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 131 W Innes St, Salisbury, NC 28144-4338 — (980) 305-8780

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X
Behavior Analyst Taxonomy 103K00000X · Licence 1638 (NC)

Record details

NPI number1821761842
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA
Sole proprietorNo
NPI enumeratedJuly 26, 2021
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing addressPo Box 749, Belmont, NC 28012-0749

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