Individual
AUTUMNDAE JEWELS SAMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10345 PROFESSIONAL CIR STE 125R, RENO, NV 89521-3100
(775) 348-7300
Mailing address
565 GLENN DR, SUSANVILLE, CA 96130-3622
(530) 250-7460
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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