Green, Samantha

Green, Samantha is an sole proprietor health care provider with primary practice located at 16941 N Eagle River Loop Rd , Eagle River AK 99577-7824. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Green, Samantha can be contacted via phone (907) 726-5330.

Contact Information

Primary practice address
16941 N Eagle River Loop Rd Eagle River AK 99577-7824
Phone: (907) 726-5330
Fax: (907) 726-5366
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X Alaska
Other Service Providers / Peer Specialist 175T00000X Alaska
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1528638921
LBN Legal business name Green, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2021
Last updated Jun 9th, 2022 - about 4 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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