Individual
SAMANTHA MISHELLE VAN METER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
308 N ASPEN AVE, BROKEN ARROW, OK 74012-2205
(539) 777-0940
Mailing address
539 SOUTHVIEW DR, SKIATOOK, OK 74070-2370
(816) 695-7358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-101434
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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