Samantha Jean Beverage
NPI #1952124513 in Willow Spring, North Carolina
Provider Information
- NPI Number
- 1952124513
- Entity Type
- Individual
- Name
- Samantha Jean Beverage
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Nov 4, 2024
- Last Updated
- Nov 4, 2024
Practice Location
- Address
- 1713 DREAM VIEW LN
- City
- Willow Spring
- State
- North Carolina
- ZIP Code
- 27592-6820
- Phone
- (843) 300-9084
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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