SAMANTHA BUCKALEW
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1891669602- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1081 THORNBERRY DR, MADISONVILLE, KY, 424311672
- Phone
- (270) 854-1480
Specialties & Taxonomies
Behavior Technician
Primary #RBT-25-473093
All Addresses
MAILING
PO BOX 931142
ATLANTA, GA, 311931142