Individual
SAMANTHA ANN GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
7720 PENROSE AVE APT A, ELKINS PARK, PA 19027-1011
(832) 242-2894
Mailing address
7720 PENROSE AVE APT A, ELKINS PARK, PA 19027-1011
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
5264
TX
103K00000X
Behavior Analyst
BH007488
PA
106S00000X
Behavior Technician
RBT-17-35661
TX
Other
Enumeration date
06/18/2020
Last updated
03/05/2025
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