Individual
MISS SAMANTHA RENE RIDOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA-NYS
Contact information
Practice address
1650 LIMEKILN PIKE STE B19, DRESHER, PA 19025-1503
(917) 203-3737
Mailing address
1650 LIMEKILN PIKE STE B19, DRESHER, PA 19025-1503
(917) 203-3737
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-57709
GA
Other
Enumeration date
12/15/2016
Last updated
04/09/2025
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