Samantha Gaudie Ley Tavares

NPI #1306425947 in Katy, Texas

Provider Information

NPI Number: 1306425947
Entity Type: Individual
Name: Samantha Gaudie Ley Tavares
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 2, 2021
Last Updated: Apr 2, 2021

Practice Location

Address: 7118 GLEN ROSA DR
City: Katy
State: Texas
ZIP Code: 77494-7039
Phone: (832) 962-6030

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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