Provider Demographics
NPI:1134785454
Name:FINLAYSON, SAMANTHA D (RBT)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:D
Last Name:FINLAYSON
Suffix:
Gender:F
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 120976
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32912-0976
Mailing Address - Country:US
Mailing Address - Phone:321-266-5595
Mailing Address - Fax:
Practice Address - Street 1:65 E NASA BLVD
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1961
Practice Address - Country:US
Practice Address - Phone:321-541-1971
Practice Address - Fax:321-372-1041
Is Sole Proprietor?:No
Enumeration Date:2019-05-13
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician