Individual provider · Type 1 NPI

Samantha Marie Thibeault

Developmental Therapist · Leominster, MA

NPI number 1871079616 Active

Practice location

100 Erdman Way
Leominster, MA 01453-1804

Call (978) 840-9354 Map

Mailing address

171 Johnson St Apt 110
Leominster, MA 01453-4459

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1871079616

Samantha Marie Thibeault's National Provider Identifier is 1871079616, issued on Jul 16, 2018. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Leominster, MA. The record was last updated on Jul 29, 2026.