Individual
SAMANTHA NICOLE SHAHEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16414 SOUTHPARK DR, WESTFIELD, IN 46074-8396
(317) 732-4304
Mailing address
6060 N COLLEGE AVE, INDIANAPOLIS, IN 46220-1907
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BACB516611
IN
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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