Individual
SAMANTHA RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 WALL ST, NORMAN, OK 73069-6319
(405) 821-6213
Mailing address
218 N JEFFERSON AVE, BLANCHARD, OK 73010-5922
(405) 203-3397
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RBT-23-288017
RBT
OK
Enumeration date
08/02/2023
Last updated
08/02/2023
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