MS. Samantha Peterson

NPI #1245946136 in Russell, Kansas

Provider Information

NPI Number: 1245946136
Entity Type: Individual
Name: MS. Samantha Peterson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 25, 2023
Last Updated: Jan 25, 2023

Practice Location

Address: 971 E WICHITA AVE
City: Russell
State: Kansas
ZIP Code: 67665-2444
Phone: (785) 377-4744

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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