Samantha Fordham Depue in Columbus - Behavior Analyst
Samantha Fordham Depue - NPI 1114041613
Samantha Fordham Depue is a Behavior Analyst in Columbus, Georgia. Samantha Fordham Depue practices all healthcare services and medical treatments related to Behavior Analyst. The NPI Number for Samantha Fordham Depue is 1114041613. The last update date is 2022-11-21.
Samantha Fordham Depue's current location address is 3623 Calvin Dr, Columbus, Georgia. You can contact this provider via phone number 7069405100. The mailing address for Samantha Fordham Depue is 3623 Calvin Dr, Columbus, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samantha Fordham Depue |
|---|---|
| Address | 3623 Calvin Dr, Columbus, Georgia |
| Phone Number | 7069405100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.ED. CCC- |
NPI Number Detail
| NPI Number | 1114041613 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2022-11-21 |
Provider Mailing Address Detail
| Address | 3623 Calvin Dr |
|---|---|
| City | Columbus |
| State | Georgia (GA) |
| Post Code | 319047915 |
| Phone Number | 7069405100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Behavior Analyst |
|---|---|
| Taxonomy | 103K00000X |
| Licence No | 1-22-62671 |
|
Definition: A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the requi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1-22-62671 | BEHAVIOR ANALYST CERTIFICATION | ||
| SLP 6138 | GA | GA LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Samantha Fordham Depue by the Centers for Medicare & Medicaid Services?
The Samantha Fordham Depue has been assigned the NPI (National Provider Identifier) 1114041613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Samantha Fordham Depue?
The Samantha Fordham Depue is situated at 3623 Calvin Dr, in the city of Columbus, state of GA, with the zip code 319047915.
What is the area of specialization for Samantha Fordham Depue, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Samantha Fordham Depue is Behavior Analyst, and the corresponding taxonomy code that categorizes this area of expertise is 103K00000X.
On what date did Samantha Fordham Depue receive its 1114041613 assignment from the Centers for Medicare & Medicaid Services?
The Samantha Fordham Depue was assigned its 1114041613 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Samantha Fordham Depue's information last updated?
The Samantha Fordham Depue's information was last updated on 2022-11-21.
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