Individual
SAMANTHA NICHOLE JANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
BSW
Contact information
Practice address
2501 E JOHNSON DR APT C10, NEVADA, MO 64772-3984
(417) 680-4484
Mailing address
6214 24TH AVE, BROOKLYN, NY 11204-3319
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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