Weaver, Samantha Renee

Weaver, Samantha Renee is an individual health care provider with primary practice located at 13000 Rivers Bend Blvd , Chester VA 23836-8632. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Weaver, Samantha Renee can be contacted via phone (804) 874-0227.

Contact Information

Primary practice address
13000 Rivers Bend Blvd Chester VA 23836-8632
Phone: (804) 874-0227
Fax: (804) 715-4789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-21-52785 Virginia

Profile Details

NPI number 1477067478
LBN Legal business name Weaver, Samantha Renee
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2017
Last updated Jul 1st, 2024 - about 2 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 1477067478 NPPES
Virginia Other 0133002582 VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS - BOARD OF MEDICINE
Virginia Other 1-21-52785 VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS - BOARD OF MEDICINE

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