Individual
MRS. SAMANTHA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 VESTAVIA PKWY, VESTAVIA, AL 35216-7715
(205) 490-5364
(312) 929-0324
Mailing address
200 VESTAVIA PKWY, VESTAVIA, AL 35216-7715
(205) 490-5364
(312) 929-0324
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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