Individual
SAMANTHA JO SANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
(402) 685-8886
Mailing address
3801 UNION DR STE 206, LINCOLN, NE 68516-6652
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1315530
NE
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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