Melissa Marie Sam

NPI #1114552676 in Bloomfield, New Mexico

Provider Information

NPI Number: 1114552676
Entity Type: Individual
Name: Melissa Marie Sam
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 5, 2020
Last Updated: Mar 5, 2020

Practice Location

Address: CR 7165 RD 3 #14
City: Bloomfield
State: New Mexico
ZIP Code: 87413-8741
Phone: (505) 486-4304

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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