Individual
SAMANTHA LYNN VANWINKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
125 W TAYLOR ST, KOKOMO, IN 46901-4554
(765) 419-0411
Mailing address
1901 S PARK RD APT B114, KOKOMO, IN 46902-6183
(765) 432-7038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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