Samantha Iverson
Behavior Technician in Tacoma, WA. Individual provider (NPI-1).
NPI number1154009124
StatusActive
Last updated in NPPESJul 10, 2023
Details
- NPI
- 1154009124
- Entity type
- Individual (NPI-1)
- Name
- Samantha Iverson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2023
- Certification date
- Jul 9, 2023
- Last updated
- Jul 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | CB61219832 | WA | Yes |
Practice location
3704 N 35th StTacoma, WA 98407-6033
Phone 206-580-6940
Mailing address
1957 23rd Pl Ne Apt 303Issaquah, WA 98029-7806
Phone 425-260-8236
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