Individual
SAMANTHA ROBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ENTERPRISE DR, VERONA, WI 53593-9124
(608) 497-3230
Mailing address
8418 ISAAC DR APT 106, MADISON, WI 53717-2129
(262) 758-7221
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1067-140
WI
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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