Samantha M Vandergrift, BCaBA
Assistant Behavior Analyst in Indianapolis, IN. Individual provider (NPI-1).
NPI number1861908139
StatusActive
Last updated in NPPESDec 21, 2017
Details
- NPI
- 1861908139
- Entity type
- Individual (NPI-1)
- Name
- Samantha M Vandergrift
- Credential
- BCaBA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2017
- Last updated
- Dec 21, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106E00000X | Assistant Behavior Analyst | 0-17-7763 | IN | Yes |
Practice location
7901 E 88th StIndianapolis, IN 46256-1235
Phone 317-849-5437 · Fax 317-436-8911
Mailing address
7901 E 88th StIndianapolis, IN 46256-1235
Phone 317-849-5437 · Fax 317-436-8911
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