Individual
SAMANTHA CONGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
421 FAYETTEVILLE ST STE 1100, RALEIGH, NC 27601-3000
(877) 418-2978
Mailing address
350 FAIRWAY DR STE 101, DEERFIELD BEACH, FL 33441-1834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
0-19-10268
FL
106S00000X
Behavior Technician
RBT-17-37340
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100423500
—
FL
Enumeration date
07/03/2018
Last updated
10/17/2022
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