Samuel Douglas Weber
Behavior Technician in Tucson, AZ. Individual provider (NPI-1).
NPI number1003575366
StatusActive
Last updated in NPPESDec 14, 2021
Details
- NPI
- 1003575366
- Entity type
- Individual (NPI-1)
- Name
- Mr. Samuel Douglas Weber
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2021
- Certification date
- Dec 13, 2021
- Last updated
- Dec 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-194304 | AZ | Yes |
Practice location
2230 E Prince RdTucson, AZ 85719-2002
Phone 520-461-7550
Mailing address
720 S 5th Ave Apt 10Tucson, AZ 85701-2753
Phone 414-217-8560
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