Individual
SAMANTHA MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10320 W MCDOWELL RD STE K1136, AVONDALE, AZ 85392-4876
(855) 223-7123
(619) 374-7134
Mailing address
PO BOX 33568, SAN DIEGO, CA 92163-3568
(855) 223-7123
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/14/2017
Last updated
04/27/2023
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