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

SAMANTHA LARK

Active Sole Proprietor

SAMANTHA LARK is a Behavior Technician healthcare provider located in CITRUS HEIGHTS, California. NPI 1689324303 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · CITRUS HEIGHTS, CA

Registration Details

NPI Number
1689324303
Provider Type
Individual
Gender
Female
NPI Issued
Mar 25, 2022 (4.4170925174306 yrs)
Last Updated
Mar 25, 2022
Sole Proprietor
Yes

Practice Information

Address
7575 COOK AVE
CITRUS HEIGHTS, CA, 956102904
Browse CA providers · Browse ZIP 95610
Phone
9167423219
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in CITRUS HEIGHTS, CA

Name Credential NPI
MRS. SHAWNA MICHELE JILES 1144456351
MATTHEW ELKINS 1679960454
KIERSTEN WINROW 1841670767
MR. SHOMARI JACKSON 1710437439
SOL ORTIZ 1992245922
ELIZABETH DEVAN 1164962023
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.