Individual
SAMANTHA WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
4 AVIS DR, LATHAM, NY 12110-2650
(518) 560-4277
Mailing address
708 COUNTY ROUTE 405, WESTERLO, NY 12193-3104
(516) 477-7265
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
002360
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/05/2020
Last updated
07/11/2022
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