Individual
SAMANTHA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N MOUNTAIN RD STE A101, NEWINGTON, CT 06111-1431
(860) 233-3033
Mailing address
705 N MOUNTAIN RD STE A101, NEWINGTON, CT 06111-1431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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