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Contact Information

SAMANTHA BUCK
1555 W SHORELINE DR STE 100
BOISE, ID83702-9107
 Phone: 800-516-0975
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health & Wellness Coach

171400000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA BUCK · (Female)

NPI Number 1144714007
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2018
Last updated 11/25/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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