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NPI Code Detail

MEDICARE: SAMANTHA BROWNLYN BCBA

MEDICARE: SAMANTHA BROWNLYN BCBA
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
1106S00000XBehavior TechnicianRBT-17-39088CO
2103K00000XBehavior Analyst1-20-44967CO

General Provider Information

NPI Number : 1154839298
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA BROWNLYN BCBA
Provider Business Mailing Address
First Line : 6845 CAMPUS DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3107
Country : US
Telephone Number : 719-822-0900
Fax Number :
Provider Business Practice Location Address
First Line : 6845 CAMPUS DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3107
Country : US
Telephone Number : 719-822-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2018
Last Update Date : 05/20/2024

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Directions to “ SAMANTHA BROWNLYN BCBA” Practice Location

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