Katrina Samuels

NPI #1902360860 in Morrow, Georgia

Provider Information

NPI Number: 1902360860
Entity Type: Individual
Name: Katrina Samuels
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2019
Last Updated: Jan 24, 2019

Practice Location

Address: 5771 TRAMMELL RD. MORROW GA
City: Morrow
State: Georgia
ZIP Code: 30260
Phone: (661) 492-1989

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Home Health Aide	374U00000X
Nurse's Aide	376K00000X
Behavior Technician	106S00000X	Primary

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