Individual
SAMANTA VALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5730 W WOODBRIDGE RD, LODI, CA 95242-9498
(209) 490-9562
Mailing address
5730 W WOODBRIDGE RD, LODI, CA 95242-9498
(209) 490-9562
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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