Individual
SAMANTHA J LLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4128 MERIDIAN RD NE, LACEY, WA 98516-2347
(808) 292-0784
Mailing address
915 N TOWER AVE APT 2, CENTRALIA, WA 98531-4942
(360) 520-2806
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60429421
—
WA
Enumeration date
01/21/2014
Last updated
01/21/2014
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