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

SAMANTHA KOENEN

Active

SAMANTHA KOENEN is a Behavior Technician healthcare provider located in GRAND RAPIDS, Michigan. NPI 1952989998 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · GRAND RAPIDS, MI

Registration Details

NPI Number
1952989998
Provider Type
Individual
Gender
Female
NPI Issued
Mar 31, 2021 (5.3691700999434 yrs)
Last Updated
Apr 27, 2021

Practice Information

Address
1256 WALKER AVE NW
GRAND RAPIDS, MI, 495044067
Browse MI providers · Browse ZIP 49504
Phone
6163018000
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in GRAND RAPIDS, MI

Name Credential NPI
NICOLE SMITH 1801584461
TNAE BULLOCK 1437561131
MELINDA LEWIS 1487036299
MRS. REBEKAH WALS 1942678750
TAYLOR CLEM MAAS MA 1710357009
JULIANNE KESSLER 1245699503
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.