Individual
SAMARA L PELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 LENOX AVE APT 6E, NEW YORK, NY 10039
(917) 783-5856
Mailing address
700 LENOX AVE APT 6E, NEW YORK, NY 10039-4508
(917) 783-5856
(212) 281-9038
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/27/2018
Last updated
06/28/2018
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