Individual
SAMANTHA PUISSANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6140 TUTT BLVD STE 200, COLORADO SPRINGS, CO 80923-3576
(719) 301-5100
Mailing address
13725 STRUTHERS RD, COLORADO SPRINGS, CO 80921-2451
(719) 301-5100
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
18393
CO
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790211605
—
CO
Enumeration date
04/24/2019
Last updated
10/07/2025
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