Individual
SAMANTHA JOHNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Mailing address
2208 W DETROIT ST, BROKEN ARROW, OK 74012-3629
(918) 900-6237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-159952
OK
Other
Enumeration date
03/16/2021
Last updated
01/19/2023
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