Most Relevant Information
Provider Data
| NPI Number: | 1003695248 |
| Provider Name: | SAMANTHA PELLERIN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/27/2023 |
| Last Updated: | 09/27/2023 |
Provider Practice Location
2451B US HIGHWAY 17
RICHMOND HILL
GA
313243397
Practice Location Phone/Fax
| Phone: | 6155606622 |
| Fax: |
Provider Mailing Location
632 FLEMING RD
HINESVILLE
GA
313134804
Provider Mailing Phone/Fax
| Phone: | 9123969585 |
| Fax: |