Samantha Disanto, BCBA
Behavior Analyst in Berea, OH. Individual provider (NPI-1).
NPI number1114799269
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1114799269
- Entity type
- Individual (NPI-1)
- Name
- Samantha Disanto
- Credential
- BCBA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 23, 2023
- Certification date
- Oct 20, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | – | – | Yes |
Practice location
56 Aldalbert StreetBerea, OH 44017
Phone 440-568-7373
Mailing address
56 Aldalbert StreetBerea, OH 44017
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