Samantha Bogle

NPI #1053936542 in Aiea, Hawaii

Provider Information

NPI Number: 1053936542
Entity Type: Individual
Name: Samantha Bogle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 10, 2020
Last Updated: Jun 10, 2020

Practice Location

Address: 99-870 IWAENA ST # 101
City: Aiea
State: Hawaii
ZIP Code: 96701-3278
Phone: (808) 277-7736

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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