Samuel Cotton Jr.

Individual provider Active NPI Behavior Technician · Desert Hot Springs, CA

NPI 1285335398 · NPPES record last updated Jan 15, 2025

Key facts

NPI
1285335398
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Technician 106S00000X
Practice address
66176 Desert View Ave
Desert Hot Springs, CA 92240-3844
Phone
(760) 898-3014
NPI assigned
Mar 15, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Behavior Technician 106S00000X Yes

Addresses

Primary practice location

66176 Desert View Ave
Desert Hot Springs, CA 92240-3844

Mailing address

473 E. Carnegie Drive
200
San Bernardino, CA 92408
Phone (909) 277-6090

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Behavior Technician in California

Sources for this page

Verify at the official NPI Registry.