Individual
SAMANTHA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 OVERLAND TRL, ENID, OK 73703-6304
(580) 540-4163
(580) 297-5204
Mailing address
729 OVERLAND TRL, ENID, OK 73703-6304
(580) 540-4163
(580) 297-5204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1191327
OK
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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