Individual
MRS. SAMANTHA LEA BRACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3416 HIDDEN BROOK DR, RAVENNA, OH 44266-9075
(330) 240-8332
Mailing address
3416 HIDDEN BROOK DR, RAVENNA, OH 44266-9075
(330) 240-8332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-49619
OH
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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