| NPI | 1114437548 |
|---|---|
| Former Name | SAMANTHA LEE HARTLESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-31009) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA C-022) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2018-11-15 |