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1679230353
SAMMANTHA THACKER
PORTLAND, OR
NPI
1679230353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2021-11-17
Last Update Date
2021-11-18
Business Address
SAMMANTHA THACKER
1675 SW MARLOW AVE STE 200
PORTLAND, OR 97225-5102
Phone number: 866-523-4268
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Mailing Address
SAMMANTHA THACKER
PO BOX 399318
SAN FRANCISCO, CA 94139-9318
Phone number: 866-523-4268
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