Samantha Lee Babineau
Specialist/Technologist, Speech-Language Assistant in Hanover, MA. Individual provider (NPI-1).
NPI number1962019497
StatusActive
Last updated in NPPESOct 12, 2022
Details
- NPI
- 1962019497
- Entity type
- Individual (NPI-1)
- Name
- Samantha Lee Babineau
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 29, 2020
- Certification date
- Oct 12, 2022
- Last updated
- Oct 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2355S0801X | Specialist/Technologist, Speech-Language Assistant | 2295 | MA | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
405 Washington StHanover, MA 02339-3212
Phone 781-826-6371
Mailing address
42 Noble RdRochester, MA 02770-1336
Phone 774-473-0656
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