Individual
SAMANTHA HILTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N BUFFALO DR UNIT 213, LAS VEGAS, NV 89128-0381
(702) 942-1774
Mailing address
1234 BODEGA DR, SPARKS, NV 89436-0825
(775) 762-1453
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145600645
—
NV
Enumeration date
03/27/2016
Last updated
03/27/2016
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