MRS. Kesha Amanda Sampson

NPI #1043791650 in Sterling, Virginia

Provider Information

NPI Number: 1043791650
Entity Type: Individual
Name: MRS. Kesha Amanda Sampson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 22, 2018
Last Updated: Aug 22, 2018

Practice Location

Address: 46040 CENTER OAK PLZ STE 1800
City: Sterling
State: Virginia
ZIP Code: 20166-8539
Phone: (703) 997-9494

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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