Samantha Lynn Corser
Individual provider Active NPI Behavior Technician · Cement City, MI
NPI 1952149593 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1952149593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 13922 Northmoor Dr
Cement City, MI 49233-9017 - Phone
- (419) 932-1789
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
13922 Northmoor Dr
Cement City, MI 49233-9017
Mailing address
7108 S Kanner Hwy
Stuart, FL 34997-7462
Other providers in Cement City, MI
- Rachel Antone
- Jordan L Bach
- Bella Donna
- Cher-Ray Bellingar
- Crossroads Chiropractic, PLLC
- Guiding Star Counseling PLLC
- Angel Matthes
- Thomas Nawrot
- Sherlin Agency LLC
All providers in Cement City, MI · Behavior Technician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.