Individual
SAMANTHA BORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1556 ANDREW'S AVE, OZARK, AL 36360
(205) 363-2172
Mailing address
247 PEANUT HOUSE RD, LOUISVILLE, AL 36048-3530
(205) 363-2172
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
AL
Other
Enumeration date
03/14/2025
Last updated
03/14/2025
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