Individual
SAMANTHA WILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
3104 KING RD, CHINA, MI 48054-1428
(810) 328-4500
Mailing address
3104 KING RD, CHINA, MI 48054-1428
(586) 770-5870
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/01/2018
Last updated
06/13/2022
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