SAMANTHA BEAVERS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1750113049- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2222 POSHARD DR, COLUMBUS, IN, 472031843
- Phone
- (812) 302-4750
- Fax
- (317) 520-8200
Specialties & Taxonomies
Behavior Technician
Primary License: IN #RBT-24-365684