Organization
C4BEHAVIORLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA DENEGRI BCBA-D, LBA (PRACTICE OWNER)
(912) 209-4981
Entity
Organization
Contact information
Practice address
116 BELLASERA WAY, RICHMOND HILL, GA 31324-7832
(912) 209-4981
(912) 597-2026
Mailing address
116 BELLASERA WAY, RICHMOND HILL, GA 31324-7832
(912) 209-4981
(912) 597-2026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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