Individual
MS. SAMANTHA MARY LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
285A BOSTON POST RD, EAST LYME, CT 06333-1566
(860) 373-8500
Mailing address
285A BOSTON POST RD, EAST LYME, CT 06333-1566
(860) 373-8500
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1720
CT
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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