Individual
LARA AL SAMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10261 TRADEMARK ST STE C, RANCHO CUCAMONGA, CA 91730-5805
(909) 481-9333
Mailing address
10261 TRADEMARK ST STE C, RANCHO CUCAMONGA, CA 91730-5805
(909) 481-9333
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
01/21/2025
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