Samantha Raeanna Buck
Behavior Technician in Gilbert, AZ. Individual provider (NPI-1).
NPI number1437745429
StatusActive
Last updated in NPPESFeb 5, 2022
Details
- NPI
- 1437745429
- Entity type
- Individual (NPI-1)
- Name
- Samantha Raeanna Buck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 14, 2020
- Certification date
- Feb 5, 2022
- Last updated
- Feb 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | RBT-21-155526 | AZ | Yes |
| 106S00000X | Behavior Technician | – | – |
Practice location
5656 S Power Rd Ste 115Gilbert, AZ 85295-8480
Phone 480-773-4511
Mailing address
10969 W Loma LnPeoria, AZ 85345-0403
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