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Individual

SAMANTHA BERGIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
4080 MCGINNIS FERRY RD STE 301, ALPHARETTA, GA 30005-1737
(678) 710-2324
Mailing address
155 ELAINE DR, ROSWELL, GA 30075-4602
(914) 316-3166

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-39063
GA

Other

Enumeration date
01/10/2020
Last updated
06/06/2024
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