| NPI | 1104585827 |
|---|---|
| Former Name | SAMANTHA BOYD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3809) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-52336) |
| Enumeration Date | 2021-12-09 |
| Last Update Date | 2022-11-18 |