NPI 1003441189

Samantha Kay Rastall

Practitioner Behavior Technician Grand Rapids, MI

Practice location

Address: 1490 E Beltline Ave SE, Grand Rapids, MI 49506-4336
Phone: (616) 248-5205

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003441189
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Mar 2020
Record last updated: 10 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.