SAMANTHA DEROSE

ORANGE, CA
NPI1144633827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103K00000X Behavior Analyst
(Licence: CA  1-17-29118)
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-06-10
Last Update Date2023-11-28
Business Address
SAMANTHA DEROSE BCBA
1815 E HEIM AVE STE 205
ORANGE, CA 92865-3016
Phone number: 714-640-6891
Mailing Address
SAMANTHA DEROSE BCBA
1815 E HEIM AVE STE 205
ORANGE, CA 92865-3016
Phone number: 171-640-6891