Individual
SAMANTHA MOSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
757 COWAN DR # 203, NOLENSVILLE, TN 37135-7409
(719) 761-5487
Mailing address
2112 FAIRFAX AVE APT 203, NASHVILLE, TN 37212-3616
(719) 761-5487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2025
Last updated
05/17/2025
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