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Mrs. Samantha Fordham Depue, MEDCCC-SLP,BCBA
Behavioral Analyst in Columbus, Georgia
NPI 1114041613

Samantha Fordham Depue is a Behavioral Analyst based in Columbus, GA. Samantha Fordham Depue practices in Columbus, GA and has the professional credentials of MEDCCC-SLP,BCBA. The NPI Number for Samantha Fordham Depue is 1114041613 and holds a License No. SLP6138 (Georgia).

The current practice location address for Samantha Fordham Depue is 3623 Calvin Dr, Columbus, GA and can be reached out via phone at 706-940-5100 and via fax at 762-208-7512.

Location: 3623 Calvin Dr, Columbus, GA, 31904-7915
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114041613
Provider Name
Samantha Fordham Depue
Credential
MEDCCC-SLP,BCBA
Provider Entity Type
Individual
Gender
Female
Address
3623 Calvin Dr, Columbus, GA, 31904-7915
Phone Number
706-940-5100
Fax Number
762-208-7512
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-22-62671 01 BEHAVIOR ANALYST CERTIFICATION BOARD
SLP 6138 01 GA GA LICENSE
institution
Provider Business Practice Location Address Details
Address
3623 Calvin Dr
City
Columbus
State
Georgia
Zip
31904-7915
Phone Number
706-940-5100
Fax Number
762-208-7512
person
Provider Business Mailing Address Details
Address
3623 Calvin Dr
City
Columbus
State
Georgia
Zip
31904-7915
Phone Number
706-940-5100
Fax Number
762-208-7512
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Behavior Analyst
Speciality
-
Taxonomy
103K00000X
License No.
1-22-62671 ()
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
person
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP6138 (Georgia)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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