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Samantha Christine Racca

Behavior Technician in Myrtle Beach, SC. Individual provider (NPI-1).

NPI number1043023906
StatusActive
Last updated in NPPESJan 29, 2025

Details

NPI
1043023906
Entity type
Individual (NPI-1)
Name
Samantha Christine Racca
Sex
Female
Sole proprietor
No
Enumeration date
Jan 27, 2025
Certification date
Jan 27, 2025
Last updated
Jan 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1129 38th Ave
391
Myrtle Beach, SC 29577-1313

Phone 185-583-2672

Mailing address

7108 S Kanner Hwy
Stuart, FL 34997-7462

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