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Individual

SAMANTHA ANNE EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899
(631) 385-7780
Mailing address
225 BROADHOLLOW RD STE 402, MELVILLE, NY 11747-4899

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003840
NY
103K00000X
Behavior Analyst
Primary
3359
NC
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
06/23/2020
Last updated
07/22/2026
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