Burbank, Samantha

Burbank, Samantha is an individual health care provider with primary practice located at 3095 Kettering Blvd , Moraine OH 45439-1983. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Burbank, Samantha can be contacted via phone (937) 293-8300.

Contact Information

Primary practice address
3095 Kettering Blvd Moraine OH 45439-1983
Phone: (937) 293-8300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X Ohio

Profile Details

NPI number 1902364078
LBN Legal business name Burbank, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2019
Last updated Dec 5th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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