Individual
SAMANTHA DE VASCONCELOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 PELHAM ST STE 201, METHUEN, MA 01844-2060
(617) 402-5444
Mailing address
225 CEDAR HILL ST STE 200, MARLBOROUGH, MA 01752-5900
(857) 829-4040
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-76279
MA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
10/20/2020
Last updated
11/10/2024
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