Samantha M Roberts, RBT
Individual provider Active NPI Assistant Behavior Analyst · Youngstown, FL
NPI 1336758804 · NPPES record last updated Dec 3, 2025
Key facts
- NPI
- 1336758804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assistant Behavior Analyst 106E00000X
- License
- 0-25-16678 (FL)
- Practice address
- 5021 Oak Ave
Youngstown, FL 32466-2024 - Phone
- (850) 394-8549
- NPI assigned
- Jul 30, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-129985 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-129985 | FL | |
| Assistant Behavior Analyst | 106E00000X | 0-25-16678 | FL | Yes |
Addresses
Primary practice location
5021 Oak Ave
Youngstown, FL 32466-2024
Mailing address
5021 Oak Ave
Youngstown, FL 32466-2024
Phone (850) 394-8549
Other providers in Youngstown, FL
- Sheena R Pate
- Sharon Lynn Patterson
- Monica Peters
- Deirdre Ann Pope
- David Quesada Trigonis
- Irwin Joseph Schimmel
- Maria A Smith
- Anna Vickrey
- Kelly D Walker
- Julian Williams
All providers in Youngstown, FL · Assistant Behavior Analyst in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.