NPI 1063997112 · live from the CMS NPI Registry
Samantha Anderson
Behavior Analyst in Salem, OR. National Provider Identifier 1063997112, active.
NPI record
| NPI | 1063997112 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 3400 State St Ste G750, Salem, OR 97301 |
| Practice phone | 971-273-7502 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | September 25, 2018 |
| Last updated | September 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.