Basham, Samantha Ann

Basham, Samantha Ann is an individual health care provider with primary practice located at 175 Market Place Dr Ste A , Louisville KY 40229-4471. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Basham, Samantha Ann can be contacted via phone (502) 251-7002.

Contact Information

Primary practice address
175 Market Place Dr Ste A Louisville KY 40229-4471
Fax: (317) 520-8200
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X RBT-24-321393

Profile Details

NPI number 1477310084
LBN Legal business name Basham, Samantha Ann
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2024
Last updated Feb 29th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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