Broderick, Samantha Lee

Broderick, Samantha Lee is an sole proprietor health care provider with primary practice located at 7108 S Kanner Hwy , Stuart FL 34997-7462. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Broderick, Samantha Lee can be contacted via phone (855) 832-6727.

Contact Information

Primary practice address
7108 S Kanner Hwy Stuart FL 34997-7462
Phone: (855) 832-6727
Fax: (772) 675-9100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-16-23336 Florida
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1932494754
LBN Legal business name Broderick, Samantha Lee
Credentials BCABA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2011
Last updated Nov 4th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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