Individual
SAMANTHA GAYLE SARDONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED. BCBA
Contact information
Practice address
885 WOODSTOCK RD, STE 430-226, ROSWELL, GA 30075-2277
(770) 992-8534
Mailing address
2663 CEDAR DR, LAWRENCEVILLE, GA 30043-1325
(856) 630-0264
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-17660
GA
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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