Individual
SAMANTHA LACOGNATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 MILL ST, MENDON, NY 14506-9760
(585) 737-9479
Mailing address
2035 SW 75TH ST STE B, GAINESVILLE, FL 32607-3425
(877) 823-4283
(352) 332-8589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-70151
NY
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/10/2020
Last updated
06/20/2024
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