MISS Samantha Rene Ridout, BCBA, LBA-NYS

NPI #1063956621 in Dresher, Pennsylvania

Provider Information

NPI Number: 1063956621
Entity Type: Individual
Name: MISS Samantha Rene Ridout, BCBA, LBA-NYS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCBA, LBA-NYS
Enumeration Date: Dec 15, 2016
Last Updated: Apr 9, 2025

Practice Location

Address: 1650 LIMEKILN PIKE STE B19
City: Dresher
State: Pennsylvania
ZIP Code: 19025-1503
Phone: (917) 203-3737

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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