Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samuel Travis

Individual provider Behavior Technician · NPI 1063051126

Samuel Travis is a Behavior Technician in Citrus Heights, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5620 Birdcage St
Citrus Heights, CA 95610-7632
Phone: (510) 520-7768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (CA)
Behavior Technician Taxonomy 106S00000X

Record details

NPI number1063051126
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 6, 2020
Certification dateJanuary 6, 2020
Mailing address3425 Coffee Rd Ste C2, Modesto, CA 95355-1582

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