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Contact Information

SAMANTHA D ADRASSE, RBT-21-168594
27844 MANOR OAK DR
WESLEY CHAPEL, FL33544-5367
 Phone: 754-422-4791
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Assistant

2355S0801X
 

Behavior Technician

106S00000X
 

Developmental Therapist

222Q00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA D ADRASSE · (Female)

NPI Number 1043968266
Status Active
Credentials RBT-21-168594
Entity Individual
Enumeration date 03/16/2022
Last updated 07/25/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RBT-21-168594
  • FL License # SI5594
  • FL Medicaid 110674100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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