Samuel Jeremiah Larson
Samuel Jeremiah Larson is a Behavior Technician in Naperville, Illinois. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
603 E Diehl Rd Ste 123Naperville, IL 60563-4908
Phone: (331) 826-0226
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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 BACB411416 |
|---|
Record details
| NPI number | 1275034969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 27, 2018 |
| Last updated in NPPES | February 27, 2018 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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