Individual
SAMANTHA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
704 OWL CREEK PKWY, ODESSA, MO 64076-1628
(816) 745-6986
Mailing address
704 OWL CREEK PKWY, ODESSA, MO 64076-1628
(816) 745-6986
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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