Ridout, Samantha Rene

Ridout, Samantha Rene is an individual health care provider with primary practice located at 1272 Virgil Langford Ave. Suite 101, Watkinsville GA 30677. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Ridout, Samantha Rene can be contacted via phone (706) 449-0273.

Contact Information

Primary practice address
1272 Virgil Langford Ave. Suite 101 Watkinsville GA 30677
Phone: (706) 449-0273
Fax: (317) 520-8200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-22-57709 Georgia

Profile Details

NPI number 1063956621
LBN Legal business name Ridout, Samantha Rene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2016
Last updated Mar 21st, 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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