Individual
SAMANTHA E SILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSL
Contact information
Practice address
322 BACK ST APT B, MT PLEASANT, PA 15666-1048
(724) 640-9672
Mailing address
322 BACK ST APT B, MT PLEASANT, PA 15666-1048
(724) 640-9672
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BH003308
PA
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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