Individual
SAMANTHA DICANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 WESTPORT AVE, NORWALK, CT 06851-3915
(800) 860-6656
Mailing address
4 FERNDALE RD, BREWSTER, NY 10509-5622
(917) 750-9081
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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