Samantha Lea Bauman
Individual provider Active NPI Behavior Technician · Grain Valley, MO
NPI 1376413567 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1376413567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- 25482654 (MO)
- Practice address
- 120 SW Garden St
Grain Valley, MO 64029-9548 - Phone
- (816) 265-1170
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 25482654 | MO | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cwo Enterprises | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 25482654 | MO | Yes |
Addresses
Primary practice location
120 SW Garden St
Grain Valley, MO 64029-9548
Mailing address
120 SW Garden St
Grain Valley, MO 64029-9548
Other providers in Grain Valley, MO
- Brandy Atwell
- Isabel Baggs
- Caroline Baker
- Mya Baker
- Elizabeth Diane Barkley
- BDS Pharmaceutical Inc
- BDS Pharmaceutical Inc
- Debbra Bersano
- Better Life in-Home Health Services LLC
- Emily Bigham
All providers in Grain Valley, MO · Behavior Technician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 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.