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1366192056
SAMANTHA ODOM
DOUGLASVILLE, GA
NPI
1366192056
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: GA 1-22-58690)
Enumeration Date
2022-03-25
Last Update Date
2024-02-22
Business Address
SAMANTHA ODOM BCBA
9559 HIGHWAY 5 STE 601
DOUGLASVILLE, GA 30135-1572
Phone number: 470-632-5276
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Mailing Address
SAMANTHA ODOM BCBA
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN 46268-6135
Phone number: 855-324-0885
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