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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SAMUEL SPACK

Active Sole Proprietor

SAMUEL SPACK is a Behavior Technician healthcare provider located in ESTERO, Florida. NPI 1598488579 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · ESTERO, FL

Registration Details

NPI Number
1598488579
Provider Type
Individual
Gender
Male
NPI Issued
Sep 23, 2022 (3.7094834529885 yrs)
Last Updated
Sep 23, 2022
License
RBT-22-233179 (FL)
Sole Proprietor
Yes

Practice Information

Address
10121 SHEPHARD ST # 8-301
ESTERO, FL, 339674800
Browse FL providers · Browse ZIP 33967
Phone
5613198255
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in ESTERO, FL

Name Credential NPI
JAVIER MENDEZ 1629683438
LESTER HERRERA RBT 1326653346
BEATRIZ DE LA NUEZ RUIZ RBT 1841882057
ELVA RAMIREZ ALMAGUER RBT 1952993172
YAIMA HERNANDEZ SANCHEZ 1790443067
ALEXA MILLER 1366103509
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.