Individual
SAMANTHA MADISON LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 MAIN ST STE G1, BRIDGEPORT, CT 06606-4237
(877) 222-0399
Mailing address
26 BELDEN AVE UNIT 2117, NORWALK, CT 06850-3383
(814) 441-3550
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69527
—
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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