SAMANTHA AMELIA SHIDELER

KOKOMO, IN
NPI1144032509
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: AZ  RBT24-340108)
Enumeration Date2025-01-23
Last Update Date2025-01-23
Business Address
SAMANTHA AMELIA SHIDELER
125 W TAYLOR ST
KOKOMO, IN 46901-4554
Phone number: 765-419-0411
Mailing Address
SAMANTHA AMELIA SHIDELER
125 W TAYLOR ST
KOKOMO, IN 46901-4554
Phone number:
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