Individual
SAMYA MONIQUE DURRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N PATRICK BLVD STE 250, BROOKFIELD, WI 53045-5883
(888) 754-0398
Mailing address
10310 W MONTANA AVE APT 17, WEST ALLIS, WI 53227-3244
(414) 914-0149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WI
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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