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General NPI Number Information
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NPI Number | 1871412049
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Entity Type | Individual
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Provider Name | SAMANTHA ROA M.ED., BCBA, LBS
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Gender | Female
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 510 RT. 6&209 101
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City | MILFORD
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State | PA
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Zip | 18337
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Country | US
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Telephone | 570-296-3992
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Fax |
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Provider Business Mailing Address
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Address Line | 101 POCONO DR
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City | MILFORD
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State | PA
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Zip | 18337-9408
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Country | US
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Telephone | 570-296-3992
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-26-89369
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License Number State | PA
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