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NPI Code Detail

MEDICARE: SAMANTHA GARRETT BCBA

MEDICARE: SAMANTHA GARRETT BCBA
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
1103K00000XBehavior AnalystAL

General Provider Information

NPI Number : 1417626649
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA GARRETT BCBA
Provider Business Mailing Address
First Line : 200 VESTAVIA PKWY STE 2400
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-490-3931
Fax Number :
Provider Business Practice Location Address
First Line : 200 VESTAVIA PKWY STE 2400
Second Line :
City : VESTAVIA
State : AL
Zip : 35216-3797
Country : US
Telephone Number : 205-490-3931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2021
Last Update Date : 03/13/2026

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