Individual
SAMANTHA BRION ALCORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1775 MONTREAL RD, TUCKER, GA 30084-6724
(855) 772-8847
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42293
GA
Other
Enumeration date
07/03/2016
Last updated
10/16/2025
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