Individual
SAMANTHA ZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 CONNECTICUT AVE NW STE 500, WASHINGTON, DC 20036-5304
(833) 599-2560
Mailing address
850 TOWBIN AVE, LAKEWOOD, NJ 08701-5928
(833) 599-2560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
06/27/2016
Last updated
12/20/2022
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