Individual
SAMANTHA ASHLEIGH LAMBROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, BCBA
Contact information
Practice address
801 E CAMELBACK RD, PHOENIX, AZ 85014-3660
(602) 535-8341
Mailing address
19820 N 13TH AVE UNIT 255, PHOENIX, AZ 85027-4317
(602) 487-1879
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16895
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-475-3045
WORKPLACE
AZ
Enumeration date
02/12/2015
Last updated
02/12/2015
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