SAMANTHA LEE BRODERICK

COLUMBUS, GA
NPI1932494754
Former NameSAMANTHA BRODERICK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: FL  1-16-23336)
Enumeration Date2011-06-09
Last Update Date2025-10-21
Business Address
SAMANTHA LEE BRODERICK BCBA
1110 13TH ST STE D
COLUMBUS, GA 31901-2246
Phone number: 706-780-1704
Mailing Address
SAMANTHA LEE BRODERICK BCBA
12276 SAN JOSE BLVD STE 214
JACKSONVILLE, FL 32223-8633
Phone number: 706-780-1704
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