Individual
SAM BANKS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
32871 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0960
(225) 349-7960
Mailing address
358 TORRENCE LN, KENTWOOD, LA 70444-8283
(225) 362-2456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011648425
—
LA
Enumeration date
02/07/2023
Last updated
02/07/2023
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