Individual
JACOB ANTHONY SAMANIEGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA, LBA
Contact information
Practice address
1351 N ZARAGOZA RD BLDG H, EL PASO, TX 79936-7902
(915) 257-5782
Mailing address
1351 N ZARAGOZA RD BLDG H, EL PASO, TX 79936-7902
(915) 257-5782
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-64834
TX
Other
Enumeration date
03/19/2018
Last updated
10/03/2023
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