Individual
BRADLEY A SAMAVATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
227 N LOOP 1604 E STE 150, SAN ANTONIO, TX 78232-1450
(210) 761-3504
(855) 568-2494
Mailing address
227 N LOOP 1604 E STE 150, SAN ANTONIO, TX 78232-1450
(210) 761-3504
(855) 568-2494
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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