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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932720687 NPPES
New Jersey MEDICAID 474541987

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