Individual
SAMANTHA MICHELLE MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
390 S LIBERTY ST, WINSTON SALEM, NC 27101-5260
(336) 934-4058
(743) 255-3010
Mailing address
PO BOX 749, BELMONT, NC 28012-0749
(704) 869-2088
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/05/2019
Last updated
04/15/2026
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