Healthcare Provider Details

I. General information

NPI: 1184069726
Provider Name (Legal Business Name): SAMANTHA NEWMAN M ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA FOWLER SAMANTHA FOWLER

II. Dates (important events)

Enumeration Date: 05/09/2013
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

583 DANIEL WEBSTER HWY STE B
MERRIMACK NH
03054-3578
US

IV. Provider business mailing address

583 DANIEL WEBSTER HWY STE B
MERRIMACK NH
03054-3578
US

V. Phone/Fax

Practice location:
  • Phone: 603-541-7958
  • Fax:
Mailing address:
  • Phone: 603-541-7958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number11621818
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: