Individual
SAMANTHA JO PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
312 HURT ST, UNIT C, COLUMBIA, KY 42728-2311
(270) 250-5070
Mailing address
312 HURT ST UNIT C, COLUMBIA, KY 42728-2311
(270) 250-5070
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/21/2022
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