Search › California › 103K00000X
Samantha Roan, MA, BCBA
NPI 1720461049 · on the registry since 2015
Practice
- Address
- 1401 Parkmoor Ave Ste 208
San Jose, CA 95126 - Phone
- (408) 241-9911
- Clinicians at this address
- 262
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California