Individual
SAMANTHA RIFICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 ORVILLE DRIVE, SUITE 100- 10185, BOHEMIA, NY 11716
(631) 861-3750
Mailing address
80 ORVILLE DRIVE, SUITE 100- 10185, BOHEMIA, NY 11716
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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