Samuel Aaron Tissenbaum
Samuel Aaron Tissenbaum is a Behavior Technician in Charleston, West Virginia. Licensed in West Virginia. Registered with an NPI since 2022.
- Licensed in
- WV
- In the registry since
- 2022
Practice location Address checks out
888 Oakwood Rd Ste 300Charleston, WV 25314-2071
Phone: (681) 265-0999
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Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence BACB790322 (WV) |
|---|
Record details
| NPI number | 1205565918 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 8, 2022 |
| Last updated in NPPES | June 8, 2022 |
| Certification date | June 8, 2022 |
| Mailing address | 888 Oakwood Road, Suite 300, Box 2, Charleston, WV 25314 |
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888 Oakwood Rd Ste 300, Charleston, WV 25314-2071 · (681) 265-0999