Individual
SAMANTHA MACRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 GILLOTTI RD, NEW FAIRFIELD, CT 06812-2525
(203) 312-5800
Mailing address
54 GILLOTTI RD, NEW FAIRFIELD, CT 06812-2525
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
9755580373
CT
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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