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1720581150
SAMANTHA SHOCKLEY
LOUISVILLE, KY
NPI
1720581150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: KY 240452)
Enumeration Date
2018-03-12
Last Update Date
2019-02-07
Business Address
SAMANTHA SHOCKLEY BCBA, LBA
800 STONE CREEK PKWY STE 7
LOUISVILLE, KY 40223-5366
Phone number: 502-423-0332
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Mailing Address
SAMANTHA SHOCKLEY BCBA, LBA
800 W WOODLAWN AVE
LOUISVILLE, KY 40215-2472
Phone number: 502-409-7181
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