Odom, Samantha
Odom, Samantha is an individual health care provider with primary practice located at 9559 Highway 5 Ste 601 , Douglasville GA 30135-1572. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Odom, Samantha can be contacted via phone (470) 632-5276.Contact Information
Primary practice address
9559 Highway 5 Ste 601
Douglasville GA 30135-1572
Phone: (470) 632-5276
Fax: (317) 520-8200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-22-58690 | Georgia |
Profile Details
| NPI number | 1366192056 |
|---|---|
| LBN Legal business name | Odom, Samantha |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2022 |
| Last updated | Feb 22nd, 2024 - about 10 months 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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