Individual
MISS SAMANTHA NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M ED, BCBA
Contact information
Practice address
2 DUCK POND RD APT 119, BEVERLY, MA 01915-7105
(914) 500-3351
Mailing address
2 DUCK POND RD APT 119, BEVERLY, MA 01915-7105
(914) 500-3351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
11621818
MA
Other
Enumeration date
05/09/2013
Last updated
03/30/2021
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