Individual
SAMANTHA TOOTHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 OAKLAND AVE, TRAIL CREEK, IN 46360-6437
(219) 809-3617
Mailing address
333 OAKLAND AVE, TRAIL CREEK, IN 46360-6437
(219) 809-3617
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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