Individual
SAMANTHA JUNE SAXMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
6635 E 21ST ST, INDIANAPOLIS, IN 46219-2254
(317) 608-2824
(317) 520-8200
Mailing address
3500 DEPAUW BLVD STE 3070, INDIANAPOLIS, IN 46268-6135
(855) 324-0885
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45281
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-20-45281
BCBA CERTIFICATE
—
Enumeration date
12/17/2019
Last updated
10/27/2020
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