Individual
SAMANTHA CONAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 S JEFFERSON AVE, COOKEVILLE, TN 38501-4748
(931) 283-2919
Mailing address
1500 S DOUGLAS RD STE 230, CORAL GABLES, FL 33134-4108
(844) 854-1116
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-66538
FL
106S00000X
Behavior Technician
—
FL
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/17/2020
Last updated
08/07/2023
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