Individual ProviderSamantha BullBehavior AnalystBehavioral Health & Social Service ProvidersPractice Address2385 Alta Vista Dr, Vista, CA 92084-7026(757) 378-1172(775) 378-1172PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Bull does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1922475334Provider TypeIndividualFull NameBull, SamanthaCredentialM.ED.GenderFemaleSole ProprietorNoEnumeration Date9/1/2015Last Updated7/31/2024Contact InformationPractice LocationPractice Address2385 Alta Vista Dr, Vista, CA 92084-7026Phone(757) 378-1172FaxUnlisted FaxMailing LocationMailing Address2385 Alta Vista Dr, Vista, CA 92084-7026Phone(775) 378-1172FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103K00000XPrimaryDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicense1-16-21796CaliforniaCode103K00000XDescriptionBehavior AnalystBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer