Individual
SAMANTHA CHEYENNE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4769 WHITESBURG DR SE STE 202, HUNTSVILLE, AL 35802-1684
(256) 666-0477
Mailing address
4769 WHITESBURG DR SE STE 202, HUNTSVILLE, AL 35802-1684
(256) 666-0477
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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