Individual
ARAYLA DAWN SAMUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 SPENCER ST, LOGANSPORT, IN 46947
(765) 210-1284
Mailing address
719 SPENCER ST, LOGANSPORT, IN 46947
(765) 210-1284
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-376558
IN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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