Individual
SAMANTHA K BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4201 N I 10 SERVICE RD W, METAIRIE, LA 70006-6713
(877) 418-2978
(866) 500-2186
Mailing address
2451 BURGUNDY ST, NEW ORLEANS, LA 70117-7852
(586) 646-0020
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
LA
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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