Individual
SAMARA LYNN INFANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6214 24TH AVE, BROOKLYN, NY 11204-3319
(866) 222-1111
Mailing address
3 ANTHONY CIR, CLARK, NJ 07066-1750
(718) 887-1855
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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