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Samantha Pope

Behavior Technician in Macon, GA. Individual provider (NPI-1).

NPI number1083178032
StatusActive
Last updated in NPPESJan 24, 2019

Details

NPI
1083178032
Entity type
Individual (NPI-1)
Name
Samantha Pope
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 24, 2019
Last updated
Jan 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior TechnicianRBT-16-14871–Yes

Practice location

1760 Bass Rd Ste 102
Macon, GA 31210-1098

Phone 478-845-5415

Mailing address

1321 Murfreesboro Pike Ste 702
Nashville, TN 37217-2679

Phone 615-724-4722

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