Individual
LAURIE BETH SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA
Contact information
Practice address
12531 CLIPPER DR STE 203, WOODBRIDGE, VA 22192-2355
(571) 427-2983
(571) 408-4966
Mailing address
12531 CLIPPER DR STE 203, WOODBRIDGE, VA 22192-2355
(571) 427-2983
(571) 408-4966
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133001725
VA
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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