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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMARA GRISSOM

Active Sole Proprietor

SAMARA GRISSOM is a Behavior Technician healthcare provider located in COLUMBUS, Indiana. NPI 1255171633 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · COLUMBUS, IN

Registration Details

NPI Number
1255171633
Provider Type
Individual
Gender
Female
NPI Issued
May 31, 2024 (2.2328210977073 yrs)
Last Updated
May 31, 2024
License
RBT-21-188553 (IN)
Sole Proprietor
Yes

Practice Information

Address
4070 25TH ST
COLUMBUS, IN, 472033161
Browse IN providers · Browse ZIP 47203
Phone
8123736103
Fax
8883754149
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in COLUMBUS, IN

Name Credential NPI
SARAH HENDRICKS 1730729401
KERRAH ELIZABETH LANE RBT 1043840416
KYLE GREGORY THOMPSON 1346868817
KALEY QUINN HENRY 1689282584
KATIE COX BA 1598374522
BAILEY SAMANTHA DAVIS BA 1306456512
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.