NPI 1154846160

Roeshelle Smith-Sampson

Practitioner Behavior Technician Ladys Island, SC

Practice location

Address: 31 Professional Village Cir, Ladys Island, SC 29907-1575
Phone: (843) 371-1602
Fax: (803) 905-4431
Mailing address: 181 W Professional Park CT STE 1, Bowling Green, KY 42104-3250

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-17-37766 (SC)

Other Behavior Technician providers in South Carolina →

Registry record

NPI: 1154846160
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2017
Record last updated: 10 Aug 2017

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.