Moore, Samantha D

Moore, Samantha D is an individual health care provider with primary practice located at 629 Pawnee St , Leavenworth KS 66048-1447. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Moore, Samantha D can be contacted via phone (785) 256-9096.

Contact Information

Primary practice address
629 Pawnee St Leavenworth KS 66048-1447
Phone: (785) 256-9096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-19-98420 Kansas
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X LBA00464 Kansas

Profile Details

NPI number 1356990667
LBN Legal business name Moore, Samantha D
Credentials M.A., BCBA, LBA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2019
Last updated Sep 9th, 2021 - about 5 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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