Samantha Jo Brenneman, BA

NPI #1003429770 in Lafayette, Indiana

Provider Information

NPI Number
1003429770
Entity Type
Individual
Name
Samantha Jo Brenneman, BA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Credential
BA
Enumeration Date
Aug 24, 2020
Last Updated
Aug 24, 2020

Practice Location

Address
3781 BAYLEY DR STE B
State
Indiana
ZIP Code
47905-8657
Phone
(765) 201-4767

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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