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Jeannine Sam, BCBA
NPI 1790197176 · on the registry since 2014
Practice
- Address
- 16 Blackberry Rd
Danbury, CT 06811 - Phone
- (203) 312-3974
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 174400000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut