Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL AARON TISSENBAUM
ActiveSAMUEL AARON TISSENBAUM is a Behavior Technician healthcare provider located in CHARLESTON, West Virginia. NPI 1205565918 is currently active in the NPPES registry. Verify at CMS.
Behavior Technician · CHARLESTON, WV
Registration Details
- NPI Number
- 1205565918
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2022 (4.1450176769031 yrs)
- Last Updated
- Jun 8, 2022
- License
-
BACB790322 (WV)
Practice Information
- Address
-
888 OAKWOOD RD STE 300CHARLESTON, WV, 253142071Browse WV providers · Browse ZIP 25314
- Phone
- 6812650999
- Primary Specialty
-
Behavior Technician
106S00000X
Other Behavior Technician Providers in CHARLESTON, WV
| Name | Credential | NPI |
|---|---|---|
| SHELBY K FILLINGER | RBT | 1871125807 |
| SARAH DANIELLE JONES I | — | 1245969955 |
| VICTORIA ROSE ELLIS | RBT | 1295465631 |
| KYRA ISABELLA ZAMORA | RBT-20-141020 | 1760115133 |
| EMMA ANGELA RUTH | — | 1871294314 |
| MATISON LEA CAIN | — | 1689375123 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.