Individual
SAMANTHA DALFEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D, LBA
Contact information
Practice address
147 PRINCE ST, BROOKLYN, NY 11201-3022
(718) 536-2958
Mailing address
20942 34TH AVE, BAYSIDE, NY 11361-1448
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
001240
NY
103T00000X
Psychologist
023659
NY
Other
Enumeration date
03/04/2016
Last updated
02/06/2020
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