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Individual

SAMANTHA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3725 BELFORT RD, JACKSONVILLE, FL 32216-5813
(904) 296-1055
Mailing address
4885 FLORIDA CLUB CIR APT 5311, JACKSONVILLE, FL 32216-1091
(904) 207-1968

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
171M00000X
Case Manager/Care Coordinator
Primary
FL

Other

Enumeration date
02/12/2020
Last updated
02/10/2026
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