Individual
SAMANTHA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
351 TENNY ST, BLOOMSBURG, PA 17815-3264
(570) 802-3099
Mailing address
452 S RIVER ST, WAPWALLOPEN, PA 18660-1030
(570) 899-1314
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
PA
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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