Samantha Rae Booker
Individual provider Active NPI Behavior Technician · Cantonment, FL
NPI 1447723929 · NPPES record last updated Jan 7, 2019
Key facts
- NPI
- 1447723929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- License
- RBT-19-75388 (FL)
- Practice address
- 3771 Stefani Rd
Cantonment, FL 32533-7795 - Phone
- (850) 607-6910
- NPI assigned
- Jan 7, 2019
- 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-19-75388 | FL | MD | Behavior Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-75388 | FL | Yes |
Addresses
Primary practice location
3771 Stefani Rd
Cantonment, FL 32533-7795
Mailing address
3771 Stefani Rd
Cantonment, FL 32533-7795
Phone (850) 607-6910
Other providers in Cantonment, FL
- Lynette Yvonne Bledsoe
- Tonya Bloxson
- Brandy Bohlman
- Karin Bonanno
- Haley Bonner
- Riley Bouck
- Horace David Brannon
- Kenithia Z Brewington
- Alexis Brickner
- Dakota Brooks
All providers in Cantonment, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2019. 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.