Ericksen, Samantha Joy

Ericksen, Samantha Joy is an individual health care provider with primary practice located at 2814 Woodcliff Cir Se , Grand Rapids MI 49506. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Ericksen, Samantha Joy can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
2814 Woodcliff Cir Se Grand Rapids MI 49506
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1215422431
LBN Legal business name Ericksen, Samantha Joy
Credentials RBT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2018
Last updated Oct 3rd, 2019 - about 6 years ago

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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