Hardesty, Samantha Lynn
Hardesty, Samantha Lynn is an sole proprietor health care provider with primary practice located at 2126 E Baltimore St , Baltimore MD 21231-2041. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hardesty, Samantha Lynn can be contacted via phone (804) 519-1360.Contact Information
Primary practice address
2126 E Baltimore St
Baltimore MD 21231-2041
Phone: (804) 519-1360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-08-4368 |
Profile Details
| NPI number | 1730515966 |
|---|---|
| LBN Legal business name | Hardesty, Samantha Lynn |
| Credentials | M.A., BCBA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 19th, 2013 |
| Last updated | Sep 19th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730515966 | NPPES |
| Maryland | MEDICAID | 5463050-00 |
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