Sam, Jeannine

Sam, Jeannine is an individual health care provider with primary practice located at 16 Blackberry Rd , Danbury CT 06811-3815. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Sam, Jeannine can be contacted via phone (203) 312-3974.

Contact Information

Primary practice address
16 Blackberry Rd Danbury CT 06811-3815
Phone: (203) 312-3974
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-14-15457
Other Service Providers / Specialist 174400000X 1139409 New York

Profile Details

NPI number 1790197176
LBN Legal business name Sam, Jeannine
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2014
Last updated May 20th, 2014 - about 12 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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