Individual
SAMANTHA JO LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A, BCBA
Contact information
Practice address
138 SADLER RD, BLOOMFIELD, NJ 07003-5321
(201) 655-2126
Mailing address
138 SADLER RD, BLOOMFIELD, NJ 07003-5321
(201) 655-2126
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
NJ
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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