Samantha Thomasson
Behavior Technician in Woodbridge, VA. Individual provider (NPI-1).
NPI number1003564584
StatusActive
Last updated in NPPESMar 14, 2022
Details
- NPI
- 1003564584
- Entity type
- Individual (NPI-1)
- Name
- Samantha Thomasson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 14, 2022
- Certification date
- Mar 14, 2022
- Last updated
- Mar 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | VA | Yes |
Other names
- Samantha Stover (Former Name)
Practice location
14059 Crown CtWoodbridge, VA 22193-1458
Phone 571-368-6876
Mailing address
21600 Oxnard StWoodland Hills, CA 91367-4976
Phone 818-345-2345
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All 159 Behavior Technician providers in Woodbridge · All 3,608 providers in Woodbridge
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