| NPI | 1356990667 |
|---|---|
| Former Name | SAMANTHA MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS LBA00464) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2023005307) |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2025-09-17 |