Individual
SAMANTHA FOOTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT-BC
Contact information
Practice address
2924 N CAPE COD AVE, MERIDIAN, ID 83646-4440
(208) 906-3875
Mailing address
2924 N CAPE COD AVE, MERIDIAN, ID 83646-4440
(208) 906-3875
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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