MISS Samantha Mariah Villa
NPI #1528733540 in Lake Elsinore, California
Provider Information
- NPI Number
- 1528733540
- Entity Type
- Individual
- Name
- MISS Samantha Mariah Villa
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Aug 11, 2021
- Last Updated
- Aug 11, 2021
Practice Location
- Address
- 41097 HIGHTOWER ST
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92532-1649
- Phone
- (714) 853-3726
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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