| NPI | 1710691183 |
|---|---|
| Former Name | SAMANTHA HUBBARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-26-89812) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-25-16266) |
| 106S00000X Behavior Technician (Licence: FL RBT-23-253092) | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2026-05-10 |