Individual
SAMANTHA NICOLE MCKEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, M.ED, BCBA
Contact information
Practice address
11414 W PARK PL STE 202, MILWAUKEE, WI 53224-3500
(414) 877-0433
Mailing address
3717 S 3RD ST, MILWAUKEE, WI 53207-3801
(262) 339-9106
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
208140
WI
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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