Hardesty, Samantha Lynn

Hardesty, Samantha Lynn is an sole proprietor health care provider with primary practice located at 2126 E Baltimore St , Baltimore MD 21231-2041. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Hardesty, Samantha Lynn can be contacted via phone (804) 519-1360.

Contact Information

Primary practice address
2126 E Baltimore St Baltimore MD 21231-2041
Phone: (804) 519-1360
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-08-4368

Profile Details

NPI number 1730515966
LBN Legal business name Hardesty, Samantha Lynn
Credentials M.A., BCBA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2013
Last updated Sep 19th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730515966 NPPES
Maryland MEDICAID 5463050-00

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