Samantha Ann-Brunhilde Macneil
Behavior Technician in Gilbert, AZ. Individual provider (NPI-1).
NPI number1164078770
StatusActive
Last updated in NPPESAug 11, 2019
Details
- NPI
- 1164078770
- Entity type
- Individual (NPI-1)
- Name
- Samantha Ann-Brunhilde Macneil
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2019
- Last updated
- Aug 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
538 S Gilbert Rd Ste 101-103Gilbert, AZ 85296-2268
Phone 000-000-0000
Mailing address
21600 Oxnard St Ste 1800Woodland Hills, CA 91367-7807
Phone 818-345-2345
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