Most Relevant Information
Provider Data
| NPI Number: | 1003523184 |
| Provider Name: | SAMANTHA ELISABETH SUTTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-22-241917 |
Most Important Dates
| Enumeration Date: | 10/31/2022 |
| Last Updated: | 10/31/2022 |
Provider Practice Location
17774 SWORDFISH DR APT G
LUTZ
FL
335586088
Practice Location Phone/Fax
| Phone: | 2176915940 |
| Fax: |
Provider Mailing Location
17774 SWORDFISH DR APT G
LUTZ
FL
335586088
Provider Mailing Phone/Fax
| Phone: | 2176915940 |
| Fax: |