Faye, Samantha Jane

Faye, Samantha Jane is an individual health care provider with primary practice located at 1011 Meadowlands Dr , White Bear Lake MN 55127-2339. 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. Faye, Samantha Jane can be contacted via phone (612) 268-6735.

Contact Information

Primary practice address
1011 Meadowlands Dr White Bear Lake MN 55127-2339
Phone: (612) 268-6735
Fax:
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 Minnesota

Profile Details

NPI number 1619640406
LBN Legal business name Faye, Samantha Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2021
Last updated Apr 22nd, 2022 - about 3 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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