Sama Polus
Behavior Technician in Covina, CA. Individual provider (NPI-1).
NPI number1497549877
StatusActive
Last updated in NPPESApr 8, 2025
Details
- NPI
- 1497549877
- Entity type
- Individual (NPI-1)
- Name
- Sama Polus
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2025
- Certification date
- Apr 8, 2025
- Last updated
- Apr 8, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1274 Center Court Dr Ste 211Covina, CA 91724-3668
Phone 626-339-4999
Mailing address
1274 Center Court Dr Ste 211Covina, CA 91724-3668
Phone 626-339-4999
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