Gennell, Samantha V

Gennell, Samantha V is an individual health care provider with primary practice located at 6930 Roosevelt Rd , Oak Park IL 60304-1845. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Behavioral Health & Social Service Providers / Behavior Technician. Behavioral Health & Social Service Providers / Behavior Technician is her primary health care specialty. Gennell, Samantha V can be contacted via phone (708) 358-3000.

Contact Information

Primary practice address
6930 Roosevelt Rd Oak Park IL 60304-1845
Phone: (708) 358-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1679046874
LBN Legal business name Gennell, Samantha V
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2019
Last updated Jan 10th, 2019 - about 5 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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