Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 1-18-32259 | TX |
NPI | 1003289448 |
---|---|
Provider Name | Ms. Samantha Joe Sanchez |
First Address | Austin, TX 78741-6826 |
Second Address | Austin, TX 78741-1178 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2015 |
Last Update Date | 14/09/2021 |