Individual
SAMANTHA DIEHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
PO BOX G, RANDOLPH, VT 05060-0167
(802) 728-4466
Mailing address
688 NOTCH RD, MENDON, VT 05701-6505
(518) 937-3793
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
146.0134353
VT
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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