Individual
SAMANTHA JOELLE SPOSITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6707 N VAN HOUTEN AVE, PORTLAND, OR 97203-5243
(509) 475-5841
Mailing address
6707 N VAN HOUTEN AVE, PORTLAND, OR 97203-5243
(509) 475-5841
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
SPOSISJ033O9
WA
Other
Enumeration date
03/13/2019
Last updated
03/13/2019
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