Individual
MISS SAMANTHA MARGARITA VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
655 SIR GALAHAD DR, LAFAYETTE, CO 80026-1979
(720) 561-7332
Mailing address
655 SIR GALAHAD DR, LAFAYETTE, CO 80026-1979
(720) 561-7332
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/02/2011
Last updated
06/02/2011
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