Individual
SAMANTHA MARIE FIORAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
296 W RIDGE PIKE STE 205, APARTMENT 7, LIMERICK, PA 19468-1790
(610) 831-1865
(877) 891-3208
Mailing address
PO BOX 51322, BOWLING GREEN, KY 42102-5622
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/08/2015
Last updated
06/20/2017
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