Most Relevant Information
Provider Data
| NPI Number: | 1003678251 |
| Provider Name: | SAMUEL HATZFELD |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/24/2024 |
| Last Updated: | 01/24/2024 |
Provider Practice Location
523 N 291 HWY
LIBERTY
MO
640681045
Practice Location Phone/Fax
| Phone: | 8163840099 |
| Fax: |
Provider Mailing Location
523 N 291 HWY
LIBERTY
MO
640681045
Provider Mailing Phone/Fax
| Phone: | 8163840099 |
| Fax: |