Most Relevant Information
Provider Data
| NPI Number: | 1003586124 |
| Provider Name: | SAMANTHA SOKUNTHEA POLING |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/20/2021 |
| Last Updated: | 09/20/2021 |
Provider Practice Location
13920 CITY CENTER DR STE 290
CHINO HILLS
CA
917095444
Practice Location Phone/Fax
| Phone: | 8663518887 |
| Fax: | 6267371095 |
Provider Mailing Location
1913 CORTE MARAVILLA
CHULA VISTA
CA
919144627
Provider Mailing Phone/Fax
| Phone: | 6192419040 |
| Fax: |