Individual
SAMANTHA PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBA, BCBA
Contact information
Practice address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Mailing address
4778 OVERTON RD, BIRMINGHAM, AL 35210-3803
(205) 957-0294
(205) 957-0298
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2022-007
AL
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-007
ALABAMA BEHAVIOR ANALYST LICENSING BOARD
AL
Enumeration date
08/22/2019
Last updated
01/28/2022
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