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Individual
SAMANTHA WANDA PATINO
Active
Individual
SAMANTHA WANDA PATINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
03/29/2021
Last updated
05/07/2025
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