Most Relevant Information
Provider Data
| NPI Number: | 1003441932 |
| Provider Name: | SAMUEL ROYAL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/11/2020 |
| Last Updated: | 03/11/2020 |
Provider Practice Location
1704 MIRAMONTE AVE STE 3
MOUNTAIN VIEW
CA
940403718
Practice Location Phone/Fax
| Phone: | 6509309550 |
| Fax: |
Provider Mailing Location
1704 MIRAMONTE AVE STE 3
MOUNTAIN VIEW
CA
940403718
Provider Mailing Phone/Fax
| Phone: | 6509309550 |
| Fax: |