Jernigan, Samantha

Jernigan, Samantha is an individual health care provider with primary practice located at 415 Waterfall Dr , Elkhart IN 46516-3660. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Jernigan, Samantha can be contacted via phone (574) 387-4313.

Contact Information

Primary practice address
415 Waterfall Dr Elkhart IN 46516-3660
Phone: (574) 387-4313
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1306575139
LBN Legal business name Jernigan, Samantha
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2022
Last updated Jun 7th, 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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