SAMUEL AARON TISSENBAUM

CHARLESTON, WV
NPI1205565918
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: WV  BACB790322)
Enumeration Date2022-06-08
Last Update Date2022-06-08
Business Address
SAMUEL AARON TISSENBAUM
888 OAKWOOD RD STE 300
CHARLESTON, WV 25314-2071
Phone number: 681-265-0999
Mailing Address
SAMUEL AARON TISSENBAUM
888 OAKWOOD ROAD SUITE 300, BOX 2
CHARLESTON, WV 25314
Phone number: