Samona Doeman

Individual provider Active NPI Behavior Analyst · Maple Valley, WA

NPI 1417464348 · NPPES record last updated Nov 6, 2021

Key facts

NPI
1417464348
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
Practice address
22415 SE 231St St Ste B103
Maple Valley, WA 98038-5002
Phone
(425) 906-4300
NPI assigned
Dec 31, 2017
Sex
Female
Sole proprietor
No

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 Yes

Addresses

Primary practice location

22415 SE 231St St Ste B103
Maple Valley, WA 98038-5002

Mailing address

22415 SE 231St St Ste B103
Maple Valley, WA 98038-5002
Phone (425) 906-4300

Other providers in Maple Valley, WA

All providers in Maple Valley, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.