Individual
MS. SAMANTHA GAYL BRODLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA.ED., BCBA
Contact information
Practice address
60 E 8TH ST, APT 14L, NEW YORK, NY 10003-6514
(516) 319-5907
(917) 675-7451
Mailing address
60 E 8TH ST, APT 14L, NEW YORK, NY 10003-6514
(516) 319-5907
(917) 675-7451
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1107622
NY
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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