Samantha Carol Dorman
Behavior Technician in Oxford, MI. Individual provider (NPI-1).
NPI number1659986362
StatusActive
Last updated in NPPESSep 9, 2020
Details
- NPI
- 1659986362
- Entity type
- Individual (NPI-1)
- Name
- Samantha Carol Dorman
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2020
- Certification date
- Sep 9, 2020
- Last updated
- Sep 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1450 S Lapeer RdOxford, MI 48371-6108
Phone 248-969-9932 · Fax 248-969-0840
Mailing address
28740 Pinto DrWarren, MI 48093-4218
Phone 586-872-3936
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Other Behavior Technician providers in Oxford, MI
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All 14 Behavior Technician providers in Oxford · All 451 providers in Oxford
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