Individual
SAMANTHA LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 MIDDLE DR, HUNTINGTON, NY 11743-4509
(646) 309-2923
Mailing address
21 MIDDLE DR, HUNTINGTON, NY 11743-4509
(646) 309-2923
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
003771
NY
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/19/2021
Last updated
09/04/2024
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