MRS. Samantha Renee Nossaman, MT-BC, LPMT

NPI #1891264958 in Tulsa, Oklahoma

Provider Information

NPI Number: 1891264958
Entity Type: Individual
Name: MRS. Samantha Renee Nossaman, MT-BC, LPMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: MT-BC, LPMT
Enumeration Date: Nov 19, 2018
Last Updated: Nov 19, 2018

Practice Location

Address: 7170 S BRADEN AVE STE 195
City: Tulsa
State: Oklahoma
ZIP Code: 74136-6324
Phone: (918) 280-0900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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