Samantha Megan Jane Reese
Behavior Technician in Newburgh, IN. Individual provider (NPI-1).
NPI number1447876164
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1447876164
- Entity type
- Individual (NPI-1)
- Name
- Samantha Megan Jane Reese
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-20-123421 | IN | Yes |
Practice location
4655 Rosebud LnNewburgh, IN 47630-9366
Phone 812-213-8031 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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