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SAMUEL TISSENBAUM
Behavior Technician
NPI: 1205565918Individual
Specialties, Licenses & Credentials
Behavior TechnicianPrimary
Behavior Technician
Code: 106S00000X
BACB790322(WV)
Contact & Hours
- Address
- 888 OAKWOOD RD STE 300
CHARLESTON, WV 25314 - Phone
- (681) 265-0999
Quick Facts
- NPI
- 1205565918
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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