Individual
MS. JODI SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
860 9TH AVE APT 2RS, NEW YORK, NY 10019-4432
(917) 804-3097
Mailing address
860 9TH AVE APT 2RS, NEW YORK, NY 10019-4432
(917) 804-3097
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146824972
NY
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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