Samuel Lucas Etling
Samuel Lucas Etling is a Behavior Technician in Phoenix, Arizona. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
2400 W Dunlap Ave Ste 100Phoenix, AZ 85021
Phone: (602) 325-2485
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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 | 1942796974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 2, 2018 |
| Last updated in NPPES | August 20, 2018 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
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