Samantha Jean Knackstedt

NPI #1023820891 in Wichita, Kansas

Provider Information

NPI Number: 1023820891
Entity Type: Individual
Name: Samantha Jean Knackstedt
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 21, 2025
Last Updated: Jan 21, 2025

Practice Location

Address: 1221 S PATTIE ST
City: Wichita
State: Kansas
ZIP Code: 67211-3435
Phone: (316) 371-1560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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