Individual
SAMANTHA GLORIA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 N WILSON ST # 2, GENEVA, AL 36340-1611
(334) 449-2923
Mailing address
801 N WILSON ST # 2, GENEVA, AL 36340-1611
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
495956
AL
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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