Individual
SAMANTHA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4201 BRIDLEPATH CT, FREDERICKSBURG, VA 22408-8813
(540) 847-1936
Mailing address
13411 FARMER DR, WOODFORD, VA 22580-2815
(540) 654-6229
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004053
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
02/08/2021
Last updated
01/12/2025
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