Individual
CLAUDETTE DELORES SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 FAIRVIEW DR, DALLAS, GA 30157-8833
(646) 548-4671
Mailing address
729 FAIRVIEW DR, DALLAS, GA 30157-8833
(646) 548-4671
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
GA
Other
Enumeration date
07/29/2026
Last updated
07/29/2026
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