Individual
SAMAYYAH ODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
407 GLENN AVE, EGG HARBOR TOWNSHIP, NJ 08234-6109
(703) 564-1639
Mailing address
1501 LITTLE GLOUCESTER RD APT E13, BLACKWOOD, NJ 08012-3438
(856) 656-5150
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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