Individual
SAMANTHA P ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
955 N WILSON RD STE G, RADCLIFF, KY 40160-1487
(502) 314-0671
Mailing address
4911 FIELDING WAY, LOUISVILLE, KY 40216-2511
(502) 744-9284
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
265059
KY
106E00000X
Assistant Behavior Analyst
8709
KY
Other
Enumeration date
04/17/2018
Last updated
05/05/2021
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