Individual
ERIC F SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
50 DONALD B DEAN DR STE B, SOUTH PORTLAND, ME 04106-3373
(207) 274-2528
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-21861
ME
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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