Individual
MRS. SAMANTHA KHALIL TELEPAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
6859 E REMBRANDT AVE STE 101, MESA, AZ 85212-3629
(480) 389-4516
Mailing address
2113 E EL MORO AVE, MESA, AZ 85204-4502
(954) 268-3027
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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