Pate, Samantha
Pate, Samantha is an individual health care provider with primary practice located at 4778 Overton Rd , Birmingham AL 35210-3803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Pate, Samantha can be contacted via phone (205) 957-0294.Contact Information
Primary practice address
4778 Overton Rd
Birmingham AL 35210-3803
Phone: (205) 957-0294
Fax: (205) 957-0298
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X | ||
Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 2022-007 | Alabama |
Profile Details
NPI number | 1124675350 |
---|---|
LBN Legal business name | Pate, Samantha |
Credentials | LBA, BCBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 22nd, 2019 |
Last updated | Jan 28th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124675350 | NPPES |
Alabama | Other | 2022-007 | ALABAMA BEHAVIOR ANALYST LICENSING BOARD |
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