Samantha Welnicke
Behavior Technician in Mesa, AZ. Individual provider (NPI-1).
NPI number1124697339
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1124697339
- Entity type
- Individual (NPI-1)
- Name
- Samantha Welnicke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1166 S Gilbert RoadSuite 106
Mesa, AZ 85296
Phone 303-989-8169
Mailing address
1166 S Gilbert RoadSuite 106
Mesa, AZ 85296
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All 576 Behavior Technician providers in Mesa · All 13,507 providers in Mesa
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