Individual
SAMANTHA LOUISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
Mailing address
5 GREAT VALLEY PKWY STE 270, MALVERN, PA 19355-1426
(484) 757-5538
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-479340
CO
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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