Individual
ALLISON SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MILL RUN CT, MEDFORD, NJ 08055-2436
(609) 953-5793
Mailing address
618 MILLER ST, PHILADELPHIA, PA 19125-2722
(203) 788-0644
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-67295
PA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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