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

Samuel Vladimir Kiselman

Individual provider Behavior Technician · NPI 1023725041

Samuel Vladimir Kiselman is a Behavior Technician in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2022.

Licensed in
WA
In the registry since
2022

Practice location Address checks out

4101 SE 192nd Ave # 101
Vancouver, WA 98683-1471
Phone: (360) 605-1881
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence WDL546BCD03B (WA)

Record details

NPI number1023725041
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 31, 2022
Last updated in NPPESOctober 31, 2022
Certification dateOctober 30, 2022

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