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Dejah Samuel

Behavior Technician in Nottingham, MD. Individual provider (NPI-1).

NPI number1265217822
StatusActive
Last updated in NPPESAug 30, 2023

Details

NPI
1265217822
Entity type
Individual (NPI-1)
Name
Dejah Samuel
Sex
Female
Sole proprietor
No
Enumeration date
Aug 30, 2023
Certification date
Aug 30, 2023
Last updated
Aug 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

8860 Belair Rd
Nottingham, MD 21236-2401

Phone 443-330-7900

Mailing address

8860 Belair Rd
Nottingham, MD 21236-2401

Phone 443-330-7900

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