Individual
SAMANTHA ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA
Contact information
Practice address
535 RIVERSTONE PARKWAY SUITE 101, CANTON, GA 30114-2566
(855) 942-0995
Mailing address
300 INTERNATIONAL PARKWAY SUITE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64713
GA
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/11/2019
Last updated
03/16/2023
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