=====================================================
General NPI Number Information
=====================================================
NPI Number | 1144193731
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SAMANTHA HUNTER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2025
-----------------------------------------------------
Last Update Date | 09/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1842 MERIDEN WTBY TPKE
-----------------------------------------------------
City | MILLDALE
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06467-6509
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-313-5537
-----------------------------------------------------
Fax | 860-426-3081
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 39 PAINTER HILL RD
-----------------------------------------------------
City | WOODBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06798-1517
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-313-5537
-----------------------------------------------------
Fax | 860-426-3081
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number | 2225
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------