Most Relevant Information
Provider Data
| NPI Number: | 1003421587 |
| Provider Name: | SAMANTHA CORTES |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/11/2020 |
| Last Updated: | 09/11/2020 |
Provider Practice Location
330 GROVE ST
WORCESTER
MA
016053909
Practice Location Phone/Fax
| Phone: | 8182416780 |
| Fax: |
Provider Mailing Location
1055 E COLORADO BLVD STE 560
PASADENA
CA
911062380
Provider Mailing Phone/Fax
| Phone: | 8182416780 |
| Fax: |