| NPI | 1780063818 |
|---|---|
| Former Name | SAMANTHA STEVENSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2022-08-10 |