Samatha C Wills
Individual provider Active NPI Behavior Technician · Concard, CA
NPI 1508536152 · NPPES record last updated Sep 15, 2021
Key facts
- NPI
- 1508536152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1220 Concard Ave
Suite 101
Concard, CA 94520 - Phone
- (925) 334-5353
- NPI assigned
- Sep 15, 2021
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Yes |
Addresses
Primary practice location
1220 Concard Ave
Suite 101
Concard, CA 94520
Mailing address
1220 Concard Ave
Suite 101
Concard, CA 94520
Other providers in Concard, CA
All providers in Concard, CA · Behavior Technician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.