SAMUEL BULLOCK

SANTA FE SPRINGS, CA
NPI1932741782
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-HNATRW)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2019-10-14
Last Update Date2026-01-16
Business Address
SAMUEL BULLOCK
11015 BLOOMFIELD AVE
SANTA FE SPRINGS, CA 90670-4601
Phone number: 562-906-2676
Mailing Address
SAMUEL BULLOCK
1003 7TH AVE
KIRKLAND, WA 98033-5779
Phone number: 425-658-3016
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