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1356009039
SAMANTHA MEDINA
WARNER ROBINS, GA
NPI
1356009039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: GA RBT-21-192867)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
SAMANTHA MEDINA
404 CORDER RD STE 300
WARNER ROBINS, GA 31088-7195
Phone number: 800-832-9419
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Mailing Address
SAMANTHA MEDINA
3121 N OAK STREET EXT
VALDOSTA, GA 31602-1099
Phone number: 800-832-9419
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