Samantha Nicole Watkins
Behavior Technician in Lexington, KY. Individual provider (NPI-1).
NPI number1699343145
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1699343145
- Entity type
- Individual (NPI-1)
- Name
- Samantha Nicole Watkins
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- May 27, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-17-44947 | KY | Yes |
Practice location
112 Dennis DriveLexington, Ky 40503
Lexington, KY 40503
Phone 859-559-6044
Mailing address
112 Dennis DriveLexington, Ky 40503
Lexington, KY 40503
Phone 859-559-6044
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