Individual
SAMANTHA NUZA-OAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1405 S BROAD ST, WINSTON SALEM, NC 27127-2068
(855) 772-8847
Mailing address
1405 S BROAD ST, WINSTON SALEM, NC 27127-2068
(855) 772-8847
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1545
NC
103K00000X
Behavior Analyst
Primary
L-633
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-58401
BACB
—
Enumeration date
05/03/2022
Last updated
05/28/2026
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