NPI 1306401666 · live from the CMS NPI Registry
Samantha Jo Bevell
Behavior Analyst in Columbia, MO. National Provider Identifier 1306401666, active.
NPI record
| NPI | 1306401666 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 2620 Forum Blvd Ste E, Columbia, MO 65203 |
| Practice phone | 573-514-8735 |
| Mailing address | 7500 San Felipe St Ste 990, Houston, TX 77063 |
| Enumerated | May 2, 2019 |
| Last updated | March 9, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.