Samantha Bacallo
Samantha Bacallo is a Behavior Technician in Stockton, California. Licensed in California. Registered with an NPI since 2023.
- Licensed in
- CA
- In the registry since
- 2023
Practice location Address checks out
1811 Grand Canal Blvd Ste 2Stockton, CA 95207-8107
Phone: (209) 452-8996
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X (CA) |
|---|
Record details
| NPI number | 1518748219 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 9, 2023 |
| Last updated in NPPES | October 9, 2023 |
| Certification date | October 9, 2023 |
| Mailing address | 350 Fairway Dr Ste 101, Deerfield Beach, FL 33441-1834 |
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Gracie Marie Azevedo
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