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Samantha Marian Chavez

Behavior Technician in Palm Desert, CA. Individual provider (NPI-1).

NPI number1699487488
StatusActive
Last updated in NPPESDec 23, 2022

Details

NPI
1699487488
Entity type
Individual (NPI-1)
Name
Miss Samantha Marian Chavez
Sex
Female
Sole proprietor
No
Enumeration date
Dec 23, 2022
Certification date
Dec 23, 2022
Last updated
Dec 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

73271 Fred Waring Dr Ste 102
Palm Desert, CA 92260-2889

Phone 760-469-9650

Mailing address

5850 Granite Pkwy Ste 600
Plano, TX 75024-6753

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