Allysha Sample

NPI #1184426546 in Cloquet, Minnesota

Provider Information

NPI Number: 1184426546
Entity Type: Individual
Name: Allysha Sample
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 26, 2025
Last Updated: Mar 26, 2025

Practice Location

Address: 1804 CLOQUET AVE
City: Cloquet
State: Minnesota
ZIP Code: 55720-2141
Phone: (218) 600-5303

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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