| NPI | 1821761842 |
|---|---|
| Former Name | SAMANTHA FULLINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1638) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2024-06-21 |