Samantha Elsa Grass
Behavior Analyst in Chester, CT. Individual provider (NPI-1).
NPI number1861925208
StatusActive
Last updated in NPPESApr 4, 2017
Details
- NPI
- 1861925208
- Entity type
- Individual (NPI-1)
- Name
- Ms. Samantha Elsa Grass
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 4, 2017
- Last updated
- Apr 4, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-15-19726 | CT | Yes |
Practice location
89 Cedar Lake RdChester, CT 06412-1008
Phone 860-388-8862
Mailing address
89 Cedar Lake RdChester, CT 06412-1008
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.