Most Relevant Information
Provider Data
| NPI Number: | 1003514969 |
| Provider Name: | SUZANNA SAMUEL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/20/2023 |
| Last Updated: | 02/20/2023 |
Provider Practice Location
14 SHAKESPEARE ST
TYNGSBORO
MA
018792735
Practice Location Phone/Fax
| Phone: | 7815529740 |
| Fax: |
Provider Mailing Location
14 SHAKESPEARE ST
TYNGSBORO
MA
018792735
Provider Mailing Phone/Fax
| Phone: | 7815529740 |
| Fax: |