Individual
SAMANTHA BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 ABBEY RD, TIJERAS, NM 87059-8240
(505) 595-4063
Mailing address
30 ABBEY RD, TIJERAS, NM 87059-8240
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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