Samuel Supranovich
Samuel Supranovich is a Behavior Technician in Albuquerque, New Mexico. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
8500 Washington St NE Ste A1Albuquerque, NM 87113-1861
Phone: (505) 828-3837
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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 | 1538810486 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 12, 2022 |
| Last updated in NPPES | January 12, 2022 |
| Certification date | January 12, 2022 |
| Mailing address | 8100 Wyoming Blvd Ne Ste 406, Albuquerque, NM 87113-1946 |
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