Individual
SAMANTHA JENNINGS NORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
Mailing address
300 W SWANSON AVE, WASILLA, AK 99654-6844
(907) 521-0890
(907) 357-0891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-135944
HI
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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