Individual
SAMANTHA DOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 WESTLAND RD, CHEYENNE, WY 82001-3322
(307) 222-2400
(605) 271-3956
Mailing address
2804 E. 26TH STREET, SUITE 1, SIOUX FALLS, SD 57103-4019
(605) 271-2690
(605) 271-3956
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
RBT-18-64091
CO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-44460
BOARD CERTIFICATE
—
Enumeration date
08/30/2018
Last updated
11/19/2020
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