Leitao, Samantha
Leitao, Samantha is an individual health care provider with primary practice located at 120 Coon Den Rd , Highland Lakes NJ 07422-2078. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as her primary health care specialty. Leitao, Samantha can be contacted via phone (973) 617-6705.Contact Information
Primary practice address
120 Coon Den Rd
Highland Lakes NJ 07422-2078
Phone: (973) 617-6705
Fax: (201) 621-4346
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-20-40755 | New Jersey |
Profile Details
| NPI number | 1932720687 |
|---|---|
| LBN Legal business name | Leitao, Samantha |
| Credentials | BCBA |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 5th, 2020 |
| Last updated | Sep 4th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932720687 | NPPES |
| New Jersey | MEDICAID | 474541987 |
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