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Sam Mace

Behavior Technician in Hurricane, WV. Individual provider (NPI-1).

NPI number1558075135
StatusActive
Last updated in NPPESJan 9, 2023

Details

NPI
1558075135
Entity type
Individual (NPI-1)
Name
Sam Mace
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2023
Certification date
Jan 9, 2023
Last updated
Jan 9, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

3361 Teays Valley Rd
Hurricane, WV 25526-9310

Phone 681-235-3114 · Fax 866-332-2962

Mailing address

3361 Teays Valley Rd
Hurricane, WV 25526-9310

Phone 681-235-3114 · Fax 866-332-2962

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Other Behavior Technician providers in Hurricane, WV

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