Individual
SAMANTHA BARRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
530 MEETING ST, APT 409, CHARLESTON, SC 29403
(856) 982-8484
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(949) 833-2237
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-20-123225
NJ
106S00000X
Behavior Technician
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Other
Enumeration date
03/23/2020
Last updated
08/10/2020
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