MISS Samantha Jean Lacasse

NPI #1871133801 in Palatine, Illinois

Provider Information

NPI Number: 1871133801
Entity Type: Individual
Name: MISS Samantha Jean Lacasse
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 7, 2020
Last Updated: Jan 7, 2020

Practice Location

Address: 140 W WOOD ST UNIT 104
City: Palatine
State: Illinois
ZIP Code: 60067-5041
Phone: (847) 306-9843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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