Most Relevant Information
Provider Data
| NPI Number: | 1003268947 |
| Provider Name: | SAMANTHA BRION ALCORN |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: | 1-20-42293 |
Most Important Dates
| Enumeration Date: | 07/03/2016 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
2387 HUNTCREST WAY
LAWRENCEVILLE
GA
300438126
Practice Location Phone/Fax
| Phone: | 6786487644 |
| Fax: |
Provider Mailing Location
500 FAIRWAY DR STE 102
DEERFIELD BEACH
FL
334411817
Provider Mailing Phone/Fax
| Phone: | 8888809270 |
| Fax: |