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NPI Code Detail

MEDICARE: SAMANTHA CARDARIS

MEDICARE: SAMANTHA CARDARIS
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

General Provider Information

NPI Number : 1437089760
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA CARDARIS
Provider Business Mailing Address
First Line : 22550 HALL RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1189
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22550 HALL RD
Second Line :
City : CLINTON TOWNSHIP
State : MI
Zip : 48036-1189
Country : US
Telephone Number : 586-441-3884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

Similar Medicare Providers

1093644890 — EMMA CICCO
Practice Location Address:
22550 HALL RD
CLINTON TOWNSHIP, MI
48036-1189
Practice Phone: 586-441-3884
Practice Fax:
1497789796 — MRS. STEPHANIE EMMA LANGE LMSW, ACSW
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1033216197 — DR. NORMA CASTRO JOSEF M.D.
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1285773739 — PROF. MARY-ANNE ANGELINE POLAN OTR
Practice Location Address:
22550 HALL RD
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Practice Fax:
1568598977 — HEATHER A HOONHOUT BS, LBSW
Practice Location Address:
22550 HALL RD
CLINTON TOWNSHIP, MI
48036-1189
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1992004816 — TIFFANY MARIE CLAUW M.A., BCBA
Practice Location Address:
22550 HALL RD
CLINTON TOWNSHIP, MI
48036-1189
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Practice Fax: 586-884-0699

Directions to “ SAMANTHA CARDARIS ” Practice Location

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