Individual
SAMANTHA HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
908 ROOSEVELT RD STE K, VALPARAISO, IN 46383-4376
(219) 242-8592
(219) 242-8631
Mailing address
764 WALTER DR, HEBRON, IN 46341-7206
(219) 707-9972
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-25769
IN
Other
Enumeration date
04/02/2016
Last updated
10/22/2018
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