Brundage, Samantha
Brundage, Samantha is an individual health care provider with primary practice located at 1651 Crofton Blvd Ste 6 , Crofton MD 21114-1314. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Brundage, Samantha can be contacted via phone (410) 888-0184.Contact Information
Primary practice address
1651 Crofton Blvd Ste 6
Crofton MD 21114-1314
Phone: (410) 888-0184
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-45640 | Connecticut |
Profile Details
| NPI number | 1275134231 |
|---|---|
| LBN Legal business name | Brundage, Samantha |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2020 |
| Last updated | Nov 8th, 2022 - about 2 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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