Samantha Long, CB61078612
Samantha Long, CB61078612 is a Behavior Technician in Vancouver, Washington. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
8019 NE 13th AveVancouver, WA 98665-9604
Phone: (360) 984-3131
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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 | 1679170286 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CB61078612 |
| Sole proprietor | No |
| NPI enumerated | October 6, 2020 |
| Last updated in NPPES | October 6, 2020 |
| Certification date | October 6, 2020 |
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