Individual
SAMANTHA BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6116 SHALLOWFORD RD STE 119&202, CHATTANOOGA, TN 37421-7201
(423) 556-3714
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-45640
CT
Other
Enumeration date
11/05/2020
Last updated
05/01/2025
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