Individual
SAMANTHA LEADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
73 BEAUFORT ST, ROCHESTER, NY 14620-1919
(585) 706-8628
Mailing address
1465 ROGERS ST, CLEARWATER, FL 33756-6184
(585) 351-9687
(317) 520-8200
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
004856
NY
106S00000X
Behavior Technician
RBT-22-205995
FL
2355S0801X
Speech-Language Assistant
Primary
SL5751
FL
Other
Enumeration date
03/10/2022
Last updated
03/16/2026
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