Individual
SAMANTHA SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W UNION AVE, LAS CRUCES, NM 88005-3608
(575) 649-5621
Mailing address
PO BOX 307, MESILLA, NM 88046-0307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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