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Individual

SAMANTHA JUNE YAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, BCBA

Contact information

Practice address
11807 ALLISONVILLE RD # 522, FISHERS, IN 46038-2313
(317) 572-5315
Mailing address
11807 ALLISONVILLE RD # 522, FISHERS, IN 46038-2313
(317) 572-5315

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
08/05/2026
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