Samantha Paulette Tatem
Behavior Technician in Berlin, MD. Individual provider (NPI-1).
NPI number1669958989
StatusActive
Last updated in NPPESJul 19, 2018
Details
- NPI
- 1669958989
- Entity type
- Individual (NPI-1)
- Name
- Samantha Paulette Tatem
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2018
- Last updated
- Jul 19, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | MD | Yes |
Practice location
10514 Racetrack RdBerlin, MD 21811-3241
Phone 410-973-2301 · Fax 410-973-2305
Mailing address
10514 Racetrack RdBerlin, MD 21811-3241
Phone 410-973-2301 · Fax 410-973-2305
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 164 Behavior Technician providers in Berlin · All 897 providers in Berlin
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