Individual
SAMANTHA BECKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 ALPINE DR, GILLETTE, WY 82718-8844
(877) 584-6227
(808) 356-1310
Mailing address
120 ALPINE DR, GILLETTE, WY 82718-8844
(877) 584-6227
(808) 356-1310
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-445900
WY
Other
Enumeration date
06/21/2025
Last updated
06/21/2025
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