Samantha V Gennell

NPI #1679046874 in Oak Park, Illinois

Provider Information

NPI Number: 1679046874
Entity Type: Individual
Name: Samantha V Gennell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 10, 2019
Last Updated: Jan 10, 2019

Practice Location

Address: 6930 ROOSEVELT RD
City: Oak Park
State: Illinois
ZIP Code: 60304-1845
Phone: (708) 358-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X	Primary

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