Individual
SAMANTHA NICOLE MASIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA
Contact information
Practice address
11 LAUREL LN, LEVITTOWN, NY 11756-3134
(516) 216-5270
Mailing address
2164 BELLEWOOD DR, MERRICK, NY 11566-3223
(631) 901-3575
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-44032
NY
Other
Enumeration date
10/28/2020
Last updated
06/22/2024
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