NPI 1215419833

Samantha Dove

Practitioner Behavior Analyst Cheyenne, WY

Practice location

Address: 1704 Westland Rd, Cheyenne, WY 82001-3322
Phone: (307) 222-2400
Fax: (605) 271-3956
Mailing address: 2804 E. 26th Street Suite 1, Sioux Falls, SD 57103-4019

Registered specialties (3)

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X

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Assistant Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence RBT-18-64091 (CO)

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1215419833
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2018
Record last updated: 19 Nov 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.