Britany Lynn Samberg, BCBA, LABA

Individual provider Active NPI Behavior Analyst · Harwinton, CT

NPI 1164086401 · NPPES record last updated Apr 23, 2019

Key facts

NPI
1164086401
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
1773 (MA)
Practice address
163 Lead Mine Brook Rd
Harwinton, CT 06791-1315
Phone
(413) 237-5176
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1773MAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1773 MA Yes

Addresses

Primary practice location

163 Lead Mine Brook Rd
Harwinton, CT 06791-1315

Mailing address

27 Rachael Ter
Westfield, MA 01085-1877
Phone (413) 478-3860

Other providers in Harwinton, CT

All providers in Harwinton, CT · Behavior Analyst in Connecticut

Sources for this page

Verify at the official NPI Registry.