Samantha Mckoy

NPI #1437746526 in Lithonia, Georgia

Provider Information

NPI Number: 1437746526
Entity Type: Individual
Name: Samantha Mckoy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Dec 23, 2020
Last Updated: Dec 23, 2020

Practice Location

Address: 6021 KING WAY WALK
City: Lithonia
State: Georgia
ZIP Code: 30058-6177
Phone: (404) 509-4836

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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