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NPI Code Detail

MEDICARE: SAMANTHA TOMPKINS BCBA

MEDICARE: SAMANTHA TOMPKINS BCBA
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 Technician
2103K00000XBehavior Analyst

General Provider Information

NPI Number : 1164930103
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA TOMPKINS BCBA
Provider Business Mailing Address
First Line : 618 VILLAGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 618 VILLAGE DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23454-4250
Country : US
Telephone Number : 757-678-8191
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2018
Last Update Date : 06/12/2023

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Directions to “ SAMANTHA TOMPKINS BCBA” Practice Location

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