Samuel Romero, RBT
Behavior Technician in Scottsdale, AZ. Individual provider (NPI-1).
NPI number1114697448
StatusActive
Last updated in NPPESSep 17, 2021
Details
- NPI
- 1114697448
- Entity type
- Individual (NPI-1)
- Name
- Samuel Romero
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 17, 2021
- Certification date
- Sep 17, 2021
- Last updated
- Sep 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-185103 | AZ | Yes |
Practice location
21000 N Pima RdScottsdale, AZ 85255-6665
Phone 480-535-3828 · Fax 317-520-8200
Mailing address
3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135
Phone 855-324-0885 · Fax 317-520-8200
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