Derose, Samantha

Derose, Samantha is an individual health care provider with primary practice located at 1815 E Heim Ave Ste 205 , Orange CA 92865-3016. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Derose, Samantha can be contacted via phone (714) 640-6891.

Contact Information

Primary practice address
1815 E Heim Ave Ste 205 Orange CA 92865-3016
Phone: (714) 640-6891
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1-17-29118 California
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1144633827
LBN Legal business name Derose, Samantha
Credentials BCBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2014
Last updated Nov 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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