Individual
SUSAN ELIZABETH SAMUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
3813 LAKE CATHERINE DR, HARVEY, LA 70058-5511
(504) 231-4386
Mailing address
3813 LAKE CATHERINE DR, HARVEY, LA 70058-5511
(504) 231-4386
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0-10-3886
FL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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