Individual
SAMANTHA KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 TALDAN AVE, VIRGINIA BEACH, VA 23462-5521
(757) 940-0744
Mailing address
61 SUMMIT DR, SMITHTOWN, NY 11787-5152
(757) 940-0744
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0134000345
VA
Other
Enumeration date
05/22/2018
Last updated
11/28/2023
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