Aviles, Samantha R

Aviles, Samantha R is an individual health care provider with primary practice located at 2 Prospect Ave , Middletown NY 10940-4112. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Aviles, Samantha R can be contacted via phone (917) 912-8061.

Contact Information

Primary practice address
2 Prospect Ave Middletown NY 10940-4112
Phone: (917) 912-8061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1333821191 New York

Profile Details

NPI number 1184255945
LBN Legal business name Aviles, Samantha R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2020
Last updated Aug 20th, 2021 - about 3 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.

Request for update

Popular Providers