Samuel Bean

NPI #1003570540 in Boise, Idaho

Provider Information

NPI Number: 1003570540
Entity Type: Individual
Name: Samuel Bean
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 29, 2021
Last Updated: Oct 29, 2021

Practice Location

Address: 4232 N WATERFORD PL
City: Boise
State: Idaho
ZIP Code: 83703-3490
Phone: (208) 871-2102

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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