Kopf, Sam Avery

Kopf, Sam Avery is an individual health care provider with primary practice located at 303 Wyman St , Waltham MA 02451-1208. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Kopf, Sam Avery can be contacted via phone (800) 249-1266.

Contact Information

Primary practice address
303 Wyman St Waltham MA 02451-1208
Phone: (800) 249-1266
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1154884302
LBN Legal business name Kopf, Sam Avery
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2019
Last updated Apr 12th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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