Fazioli, Samantha I

Fazioli, Samantha I is an individual health care provider with primary practice located at 481 Revere St Apt 2 , Revere MA 02151-1500. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Fazioli, Samantha I can be contacted via phone (401) 500-3164.

Contact Information

Primary practice address
481 Revere St Apt 2 Revere MA 02151-1500
Phone: (401) 500-3164
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Massachusetts

Profile Details

NPI number 1255824462
LBN Legal business name Fazioli, Samantha I
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2018
Last updated Jun 12th, 2018 - about 7 years ago

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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