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Individual

SAMANTHA D OSGOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., BCBA, LBA

Contact information

Practice address
913 SHEIDLEY AVE, BONNER SPRINGS, KS 66012-9514
(816) 301-4533
Mailing address
913 SHEIDLEY AVE, BONNER SPRINGS, KS 66012-9514
(816) 301-4533

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2023005307
MO
103K00000X
Behavior Analyst
Primary
LBA00464
KS

Other

Enumeration date
09/09/2019
Last updated
09/17/2025
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