Individual
CHANAKAY 407.915.7720 SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
791 RINEHART RD FL 32746, LAKE MARY, FL 32746-4876
(617) 756-9865
Mailing address
244 ALTAMONTE BAY CLUB CIR APT 202, ALTAMONTE SPRINGS, FL 32701-5830
(617) 756-9865
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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