Samantha Jo Tolle

NPI #1760207393 in Gulf Shores, Alabama

Provider Information

NPI Number: 1760207393
Entity Type: Individual
Name: Samantha Jo Tolle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 21300 COTTON CREEK DR APT O102
City: Gulf Shores
State: Alabama
ZIP Code: 36542-9149
Phone: (972) 832-9109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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