Individual
SAMANTHA SONUSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7552 NAVARRE PKWY, NAVARRE, FL 32566-7305
(850) 860-4050
Mailing address
1900 ELEVATE AVE APT B206, NAVARRE, FL 32566-6956
(505) 553-2341
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
16910
FL
106S00000X
Behavior Technician
971157
AR
106S00000X
Behavior Technician
—
FL
Other
Enumeration date
08/21/2023
Last updated
03/04/2026
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