| NPI | 1124627211 |
|---|---|
| Former Name | SAMANTHA FERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 1-24-76279) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2024-11-10 |