Mary Wanda Samuel
Mary Wanda Samuel is a Behavior Technician in Miami, Florida. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
8785 SW 165th Ave Ste 104Miami, FL 33193-5827
Phone: (786) 206-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1679160501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 27, 2020 |
| Last updated in NPPES | January 27, 2021 |
| Certification date | January 20, 2021 |
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