SAMUEL TISSENBAUM

Behavior Technician

Active Individual
NPI: 1205565918

Practice Address

888 OAKWOOD RD STE 300
Charleston, WV 25314

Phone: (681) 265-0999

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes BACB790322 (WV)

Frequently Asked Questions

NPI 1205565918 is the National Provider Identifier for SAMUEL TISSENBAUM, a Behavior Technician provider located in Charleston, WV. This NPI was enumerated on June 8, 2022.
SAMUEL TISSENBAUM practices at 888 OAKWOOD RD STE 300, Charleston, WV 25314.

Quick Facts

NPI
1205565918
Type
Individual
Enumerated
Jun 8, 2022
Last Updated
Jun 8, 2022

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