Most Relevant Information
Provider Data
| NPI Number: | 1003436908 |
| Provider Name: | SAMANTHA FREIJE |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/21/2020 |
| Last Updated: | 06/23/2021 |
Provider Practice Location
6655 E US HIGHWAY 36
AVON
IN
461238923
Practice Location Phone/Fax
| Phone: | 8887141927 |
| Fax: |
Provider Mailing Location
6655 E US HIGHWAY 36
AVON
IN
461238923
Provider Mailing Phone/Fax
| Phone: | 8887141927 |
| Fax: |