Samara Grissom
Samara Grissom is a Behavior Technician in Columbus, Indiana. Practices as a sole proprietor. Licensed in Indiana.
- Licensed in
- IN
- In the registry since
- 2024
Practice location Address checks out
4070 25th StColumbus, IN 47203-3161
Phone: (812) 373-6103
Fax: (888) 375-4149
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence RBT-21-188553 (IN) |
|---|
Record details
| NPI number | 1255171633 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 31, 2024 |
| Last updated in NPPES | May 31, 2024 |
| Certification date | May 31, 2024 |
| Mailing address | 1019 Franklin St Apt 1, Columbus, IN 47201-5786 |
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