Individual
SUSAN SAMANTHA PALOMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ASSISTANT
Contact information
Practice address
13078 FOX CT, GROVELAND, CA 95321-9540
(855) 832-6727
Mailing address
13078 FOX CT, GROVELAND, CA 95321-9540
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/25/2021
Last updated
10/25/2021
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