NPI 1497498240

Samantha Kellum, RBT

Practitioner Behavior Technician Tupelo, MS

Practice location

Address: 146 S Thomas St STE C, Tupelo, MS 38801-5328
Phone: (662) 840-0974
Fax: (662) 840-0388

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Mississippi →

Registry record

NPI: 1497498240
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Apr 2022
Record last updated: 19 Apr 2022

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.