Individual
SAMANTHA BROYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1855 ROSA CIR, MORRISTOWN, TN 37814-6283
(727) 534-6042
Mailing address
1855 ROSA CIR, MORRISTOWN, TN 37814-6283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1467574
TN
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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