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NPI Code Detail

MEDICARE: SAMANTHA ALEX HARVEY

MEDICARE: SAMANTHA ALEX HARVEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1679363790
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA ALEX HARVEY
Provider Business Mailing Address
First Line : 2785 CASON ST
Second Line :
City : LAFAYETTE
State : IN
Zip : 47904-2843
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1341 OHIO ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47807-3940
Country : US
Telephone Number : 812-266-0974
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2025
Last Update Date : 12/10/2025

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Directions to “ SAMANTHA ALEX HARVEY ” Practice Location

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