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Individual

MRS. SAMANTHA FORDHAM DEPUE

Active
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Individual

MRS. SAMANTHA FORDHAM DEPUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED. CCC-SLP, BCBA

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-22-62671
235Z00000X
Speech-Language Pathologist
Primary
SLP6138
GA
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-22-62671
BEHAVIOR ANALYST CERTIFICATION BOARD
01
SLP 6138
GA LICENSE
GA
Enumeration date
03/19/2007
Last updated
06/27/2025
About Stedi
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