SAMANTHA GANNON

CHAMPAIGN, IL
NPI1891484705
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2023-05-05
Last Update Date2023-05-05
Business Address
SAMANTHA GANNON RBT
2301 W BRADLEY AVE
CHAMPAIGN, IL 61821-1849
Phone number: 574-387-4313
Mailing Address
SAMANTHA GANNON RBT
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: 574-387-4313
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