Samantha Ballard
NPI #1174247738 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1174247738
- Entity Type
- Individual
- Name
- Samantha Ballard
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 28, 2022
- Last Updated
- Sep 28, 2022
Practice Location
- Address
- 1719 METROPOLITAN AVE
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048-1124
- Phone
- (913) 250-5634
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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