MEDICARE: SAMANTHA D FINLAYSON RBT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134785454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMANTHA D FINLAYSON RBT

Provider Business Mailing Address
First Line	:	PO BOX 120976
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32912-0976
Country	:	US
Telephone Number	:	321-266-5595
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 E NASA BLVD
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32901-1961
Country	:	US
Telephone Number	:	321-541-1971
Fax Number	:	321-372-1041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/19/2020

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Directions to “ SAMANTHA D FINLAYSON RBT” Practice Location

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