Samuel Dale Koch
Samuel Dale Koch is a Behavior Technician in Manchester, New Hampshire. Licensed in South Carolina. Registered with an NPI since 2023.
- Licensed in
- SC
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
2 Wall St Ste 400Manchester, NH 03101-1518
Phone: (603) 668-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence 2706567 (SC) |
|---|---|
| Specialist | Taxonomy 174400000X |
Record details
| NPI number | 1639952823 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 14, 2023 |
| Last updated in NPPES | August 5, 2026 |
| Certification date | August 5, 2026 |
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