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NPI Code Detail

MEDICARE: SAMANTHA WHITE

MEDICARE: SAMANTHA WHITE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1538018957
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA WHITE
Provider Business Mailing Address
First Line : 5870 EL CAMINO REAL STE 101
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-8816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5870 EL CAMINO REAL STE 101
Second Line :
City : CARLSBAD
State : CA
Zip : 92008-8816
Country : US
Telephone Number : 760-539-5818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2026
Last Update Date : 01/27/2026

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Directions to “ SAMANTHA WHITE ” Practice Location

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