Individual
SAMANTHA BARTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2451 E BASELINE RD STE 420, GILBERT, AZ 85234-2472
(480) 474-4173
(480) 422-2436
Mailing address
1300 W WARNER RD APT 2103, GILBERT, AZ 85233-7077
(515) 205-0179
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-20-134810
AZ
Other
Enumeration date
10/01/2020
Last updated
08/30/2022
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