Samantha Blair
NPI #1063225886 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1063225886
- Entity Type
- Individual
- Name
- Samantha Blair
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Jan 27, 2025
- Last Updated
- Jan 27, 2025
Practice Location
- Address
- 7561 W JEFFERSON BLVD
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4131
- Phone
- (219) 881-8400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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