Individual
SAMANTHA AMANDA RILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1284 DEVIN OAKS CT, LAKELAND, FL 33811-2383
(863) 602-0698
(813) 354-2715
Mailing address
PO BOX 6553, LAKELAND, FL 33807-6553
(863) 602-0698
(813) 354-2715
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-18-8535
FL
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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