Most Relevant Information
Provider Data
| NPI Number: | 1003575366 |
| Provider Name: | SAMUEL DOUGLAS WEBER |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: | RBT-21-194304 |
Most Important Dates
| Enumeration Date: | 12/14/2021 |
| Last Updated: | 12/14/2021 |
Provider Practice Location
2230 E PRINCE RD
TUCSON
AZ
857192002
Practice Location Phone/Fax
| Phone: | 5204617550 |
| Fax: |
Provider Mailing Location
720 S 5TH AVE APT 10
TUCSON
AZ
857012753
Provider Mailing Phone/Fax
| Phone: | 4142178560 |
| Fax: |