Samantha Smock
NPI #1053931196 in East Peoria, Illinois
Provider Information
- NPI Number
- 1053931196
- Entity Type
- Individual
- Name
- Samantha Smock
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Apr 18, 2020
- Last Updated
- Apr 18, 2020
Practice Location
- Address
- 508 AVONDALE DR
- City
- East Peoria
- State
- Illinois
- ZIP Code
- 61611-1644
- Phone
- (309) 361-7014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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