Individual
MISS SAMANTHA TAYLOR O'MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 WESGATE DR, BROCKTON, MA 02301
(774) 360-6232
Mailing address
1 SCHOOL ST APT 9, SOUTH EASTON, MA 02375-1556
(774) 360-6232
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
MA
106S00000X
Behavior Technician
—
MA
390200000X
Student in an Organized Health Care Education/Training Program
DONTHAVEONE
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2020
Last updated
11/07/2022
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