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Individual

SAMANTHA KIMMERER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCABA, LABA

Contact information

Practice address
2549 JOLLY RD STE 380, OKEMOS, MI 48864-3680
(989) 217-8061
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 244-1818

Taxonomy

Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-22-13745
MI
106E00000X
Assistant Behavior Analyst
Primary
7402000149
MI
106S00000X
Behavior Technician

Other

Enumeration date
09/21/2020
Last updated
11/13/2024
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