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Individual

SAMANTHA KING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
601 LIBRARY PARK DR STE A-1, GREENWOOD, IN 46142-1562
(317) 881-9923
Mailing address
204 WHITELAND RD, WHITELAND, IN 46184-1424
(317) 607-1028

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-61666
IN

Other

Enumeration date
09/28/2022
Last updated
09/28/2022
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