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Samantha Fountain
NPI 1598142374 · on the registry since 2015 · sole proprietor
Practice
- Address
- 3110 W Belmont Ave
Unit 3e
Chicago, IL 60618 - Phone
- (818) 414-5409
- Organisation at this address
- Belmont Eyecare Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Behavior Analyst
103K00000X
- Sex
- Female
- Record last updated
- 2015-04-30
- Status
- Not present in the most recent federal file
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois